Individual provider Active NPI

Amanda Strunin, PH.D.

  • Clinical Psychologist
  • Ft Lauderdale, FL
National Provider Identifier
1225465727
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8834 Issued in FL
Practice address
915 Middle River Dr
Suite 307
Ft Lauderdale, FL 33304-3544
Phone
(954) 566-2166
Fax
(954) 566-1186
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8834 FL Primary

Addresses

Primary practice location

915 Middle River Dr
Suite 307
Ft Lauderdale, FL 33304-3544

Mailing address

9526 NW 8TH Cir
Plantation, FL 33324-4935

Other names 1

  • Dr. Amanda Countryman Former name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY8834FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Strunin PHD LLC Clinical PastSince Nov 13, 2013 Accepting new patients

Organizations & group practices 1

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1225465727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 NW 8TH CIR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR",
            "address_2": "SUITE 307",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043544",
            "telephone_number": "954-566-2166",
            "fax_number": "954-566-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUNIN",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "COUNTRYMAN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.