Individual provider Active NPI

Amanda Van Scoyoc

  • Clinical Child & Adolescent Psychologist
  • Chapel Hill, NC
National Provider Identifier
1205258100
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
5722 Issued in NC
Practice address
3820 Stoneycreek Rd
Chapel Hill, NC 27514-9551
Phone
(919) 597-9531
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 5722 NC
Clinical Child & Adolescent Psychologist 103TC2200X 5722 NC Primary

Addresses

Primary practice location

3820 Stoneycreek Rd
Chapel Hill, NC 27514-9551

Mailing address

3820 Stoneycreek Rd
Chapel Hill, NC 27514-9551
Phone (919) 597-9531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5722NCMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dogwood Psychology Center for Children and Families CurrentSince Jan 19, 2020 Accepting new patients
Evergreen Insight PLLC CurrentSince Apr 28, 2024 Accepting new patients
Oslc Community Programs Past Accepting new patients

Locations

960 Corporate Dr
Ste 111
Hillsborough, NC 27278
Phone (919) 945-4567

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1205258100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 STONEYCREEK RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275149551",
            "telephone_number": "919-597-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 STONEYCREEK RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275149551",
            "telephone_number": "919-597-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCOYOC",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "5722",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "5722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.