Individual provider Active NPI

Amanda K. Janner, PSY.D.

  • Clinical Psychologist
  • Winter Park, FL
National Provider Identifier
1346438009
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 7567 Issued in FL
Practice address
2737 W Fairbanks Ave
Winter Park, FL 32789-3314
Phone
(407) 740-6838
Fax
(407) 740-0902
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 7567 FL Primary

Addresses

Primary practice location

2737 W Fairbanks Ave
Winter Park, FL 32789-3314

Mailing address

2737 W Fairbanks Ave
Winter Park, FL 32789-3314
Phone (407) 740-6838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191004002257 FL Practitioner - Clinical Psychologist 9436480431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY 7567FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saafe Behavioral Services LLC CurrentSince Sep 13, 2019 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2020 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2020 Accepting new patients
Psychological Affiliates, Inc. Past Accepting new patients
Psychological Affiliates Inc Clinical PastSince Nov 10, 2014 Accepting new patients
Saafe Health Services LLC PastSince Jul 3, 2012 Accepting new patients

Locations

201 W Plymouth Ave
Deland, FL 32720
Phone (386) 872-2963

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Organizations & group practices 6

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1346438009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893314",
            "telephone_number": "407-740-6838",
            "fax_number": "407-740-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893314",
            "telephone_number": "407-740-6838",
            "fax_number": "407-740-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNER",
        "first_name": "AMANDA",
        "middle_name": "K.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 7567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.