Active NPI
Amy Otey
- School Psychologist
- Prince George, VA
National Provider Identifier
1326547233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0813000548
- Practice address
- 6410 Courts Dr
Prince George, VA 23875-2562 - Phone
- (804) 733-2700
- NPI assigned
- Feb 6, 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 | 0813000548 | VA | Primary |
Addresses
Primary practice location
6410 Courts Dr
Prince George, VA 23875-2562
Mailing address
6410 Courts Dr
Prince George, VA 23875-2562
Phone (804) 733-2700
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 |
|---|---|---|---|
| 0813000548 | VA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince George County Public Schools | Past | Accepting new patients | |
| Hampton City Schools | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17374/brand/6/csg/81/fhir/r4
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.
-
- Local Education Agency (LEA)
- Hampton, VA
- NPI 1790701365
-
- Local Education Agency (LEA)
- Prince George, VA
- NPI 1245412717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1326547233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 COURTS DR",
"city": "PRINCE GEORGE",
"state": "VA",
"postal_code": "238752562",
"telephone_number": "804-733-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 COURTS DR",
"city": "PRINCE GEORGE",
"state": "VA",
"postal_code": "238752562",
"telephone_number": "804-733-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTEY",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "0813000548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prince George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.