Active NPI
Amanda Lynn Zold, PHD
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1265734826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 39433
- Practice address
- 5615 H. Mark Crosswell Jr. St
Houston, TX 77021 - Phone
- (860) 545-7341
- Fax
- (860) 545-7510
- NPI assigned
- Dec 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3989 | CT | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Psychologist | 103TC0700X | 39433 | TX | Primary |
Addresses
Primary practice location
5615 H. Mark Crosswell Jr. St
Houston, TX 77021
Mailing address
2800 S Macgregor Way
Houston, TX 77021-1032
Phone (713) 741-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exodus Recovery Services LLC. | Current | Accepting new patients |
Locations
230 N 3rd St
Ste 105
Harrisburg, OR 97446
Phone (541) 998-5660
Interoperability endpoints
- amanda.zold@xdr.hhchealthdirect.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Addiction (Substance Use Disorder) Counselor
- Harrisburg, OR
- NPI 1669092201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1265734826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S MACGREGOR WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770211032",
"telephone_number": "713-741-5000",
"fax_number": "713-741-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 H. MARK CROSSWELL JR. ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77021",
"telephone_number": "860-545-7341",
"fax_number": "860-545-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLD",
"first_name": "AMANDA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2022-09-06",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "3989",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "39433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.