Amanda Stine Dorn, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2009-00817 Issued in NC

Practice address

101 Europa Drive
Suite 170
Chapel Hill, NC 27517

Phone

(919) 928-0144

Fax

(919) 928-0145

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 23, 2013 through Nov 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Amanda Dorn, MD, PLLC

  • Medical Specialty Clinic/Center
  • Chapel Hill, NC
  • NPI 1114679362
  NPD Authorized official
• Family Psychiatry and Psychology Associates, P.a.

  • Child & Adolescent Psychiatry Physician
  • Cary, NC
  • NPI 1932513223
  NPD (past)
• Family Psychiatry Practice & Associates, PLLC

  • Child & Adolescent Psychiatry Physician
  • Cary, NC
  • NPI 1588384572
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1336285626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EUROPA DRIVE",
            "address_2": "SUITE 170",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-928-0144",
            "fax_number": "919-928-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EUROPA DRIVE",
            "address_2": "SUITE 170",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-928-0144",
            "fax_number": "919-928-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "AMANDA",
        "middle_name": "STINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200002392559",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2009-00817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "T1782",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Doran, M.D.
• Steven Ryan Doran, PHARMD
• Katie Dore
• Kyra Dorgeloh, OD
• Andrew Robert Dorion, MD
• Matthew Robert Dorn, PA-C, LAT, ATC, CES
• Spencer Dorn, M.D.
• Mia Doron, MD
• Melissa Lynn Dorsett-Felicelli
• Jean M Dostou, MD

• Psychiatry Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.