Individual provider Active NPI

Amy Huang, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1326358953
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP010865 Issued in PA
Practice address
112 N Broad St FL 7
Philadelphia, PA 19102-1500
Phone
(215) 568-0860
Fax
(215) 568-7261
NPI assigned
Oct 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X RN518738L PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP010865 PA Primary

Addresses

Primary practice location

112 N Broad St FL 7
Philadelphia, PA 19102-1500

Mailing address

112 N Broad St FL 7
Philadelphia, PA 19102-1500
Phone (215) 568-0860

Other practice location 1

8001 State Rd
Suite Mod II
Philadelphia, PA 19136-2908
Phone (215) 624-0797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN518738LPAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Drexel Academic Medical Group LLC Current Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Mar 1, 2021 Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Mar 1, 2021 Accepting new patients
Centralized Comprehensive Human Services, Inc. Current Accepting new patients
Pottstown Clinic Company LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

112 N Broad St
Rm 821
Philadelphia, PA 19102
Phone 2155680860 ext. 3364

112 N Broad St
Fl 7
Philadelphia, PA 19102

219 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 762-5037

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

112 N Broad St
Philadelphia, PA 19102
Phone (215) 568-0622

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1287273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1326358953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N BROAD ST FL 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021500",
            "telephone_number": "215-568-0860",
            "fax_number": "215-568-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BROAD ST FL 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021500",
            "telephone_number": "215-568-0860",
            "fax_number": "215-568-7261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 State Rd",
            "address_2": "Suite Mod II",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191362908",
            "country_code": "US",
            "telephone_number": "215-624-0797",
            "fax_number": "215-624-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-17",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "RN518738L",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP010865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.