Amanda Quinby

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042834A Issued in IN

Practice address

205 N College Ave Ste 512
Bloomington, IN 47404-3952

Phone

(812) 606-2919

NPI assigned

Jul 8, 2013

Last updated

Oct 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Amanda Lynne, PHD, LLC

  • Clinical Psychologist
  • Bloomington, IN
  • NPI 1043945835
  NPD Authorized official
• Bloomington Counseling and Wellness Services, LLC

  • Clinical Psychologist
  • Bloomington, IN
  • NPI 1265824122
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445040000000",
    "number": "1255772174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 512",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043952",
            "telephone_number": "812-606-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 512",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043952",
            "telephone_number": "812-606-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINBY",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2015-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042834A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uzma Qudoos, MD
• Quest Chiropractic Center
• Quest Integrative Health LLC
• Evelyn Christel Quigley, PMHNP
• Tera Marie Quigley, AU.D.
• Robert Freeman Quinby, PH.D.
• Claribell Quinones
• Graciela M Rabri-Stack, M.D.
• Rachel Raczka
• Daniel Wade Rademacher

• Clinical Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; 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.