Individual provider Active NPI

Amanda Richardson, PSYD

  • Psychologist
  • Rocklin, CA
National Provider Identifier
1265182836
Registry record updated Mar 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35771 Issued in CA
Practice address
5701 Lonetree Blvd Ste 216
Rocklin, CA 95765-3795
Phone
(808) 225-9924
NPI assigned
Mar 26, 2022
Last updated
Mar 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35771 CA Primary

Addresses

Primary practice location

5701 Lonetree Blvd Ste 216
Rocklin, CA 95765-3795

Mailing address

6518 Lonetree Blvd # 162
Rocklin, CA 95765-5874
Phone (808) 225-9924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415002034 CA Practitioner - Clinical Psychologist 2365918604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipsychological PCGroup PAC ID 0143652032, 2 clinicians

Practice addresses (Care Compare)

5701 Lonetree Blvd
Suite 216
Rocklin, CA 95765-3795
Phone (916) 906-4856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35771CAMDGeneral Practice Dentistry

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1265182836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 LONETREE BLVD # 162",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655874",
            "telephone_number": "808-225-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 LONETREE BLVD STE 216",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653795",
            "telephone_number": "808-225-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "35771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.