Active NPI
Amanda Roesly
- School Psychologist
- Wilmington, DE
National Provider Identifier
1295210441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 96044
- Practice address
- 1703 School LN
Wilmington, DE 19808-6030 - Phone
- (302) 995-5608
- NPI assigned
- Oct 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 96044 | DE | Primary |
Addresses
Primary practice location
1703 School LN
Wilmington, DE 19808-6030
Mailing address
37 N 3Rd St Apt 3F
Philadelphia, PA 19106-4500
Phone (856) 369-5783
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
| License | State | Type | Specialty |
|---|---|---|---|
| 96044 | DE | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1295210441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 N 3RD ST APT 3F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064500",
"telephone_number": "856-369-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 SCHOOL LN",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198086030",
"telephone_number": "302-995-5608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESLY",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "DE",
"license": "96044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.