Organization Active NPI

Monterey Psychological Services, PLLC

Doing business as Dr. Amanda Glover

  • Clinical Psychologist
  • Allen, TX
National Provider Identifier
1306205588
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34158 Issued in TX
Legal business name
MONTEREY PSYCHOLOGICAL SERVICES, PLLC
Doing business as
Dr. Amanda Glover
Practice address
945 Stockton Dr Unit 3130
Allen, TX 75013-6157
Phone
(469) 291-9009
Fax
(866) 433-3741
NPI assigned
Feb 17, 2016
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Dr. Amanda Gayle Glover, PSYDNPI 1922395730
Title
Clinical Psychologist
Phone
(469) 519-2782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 34158 TX Primary

Addresses

Primary practice location

945 Stockton Dr Unit 3130
Allen, TX 75013-6157

Mailing address

945 Stockton Dr Unit 3130
Allen, TX 75013-6157
Phone (469) 291-9009

Other names 1

  • Dr. Amanda Glover Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160613000576 TX Part B Supplier - Clinic/Group Practice 9739479288 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

1333 W McDermott Dr
Ste 150
Allen, TX 75013
Phone (469) 519-2782

550 S Watters Rd
Ste 266
Allen, TX 75013
Phone (469) 291-9009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1306205588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 STOCKTON DR UNIT 3130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136157",
            "telephone_number": "469-291-9009",
            "fax_number": "866-433-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 STOCKTON DR UNIT 3130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136157",
            "telephone_number": "469-291-9009",
            "fax_number": "866-433-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "469-519-2782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Amanda Glover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.