Amber June Penn, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

263092 Issued in KY

Practice address

PO Box 43261
Louisville, KY 40253-0261

Phone

(502) 625-5571

Fax

(502) 688-5257

NPI assigned

Jul 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amber June Gorzynski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amy B. Greenamyer, PHD, PLLC

  • Counseling Psychologist
  • Louisville, KY
  • NPI 1124320296
  NPD (past)

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1346625902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43261",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530261",
            "telephone_number": "502-625-5571",
            "fax_number": "502-688-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 43261",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530261",
            "telephone_number": "502-625-5571",
            "fax_number": "502-688-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "AMBER",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "263092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "GORZYNSKI",
            "middle_name": "JUNE",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terrell Lee Pendleton, DMD
• Amberly S Pendley
• Lynn M Pendley, M.S., R.D., L.D.
• Chaisak Pengvanich, M.D.
• Tori Marissa Penick, PHARM.D.
• Krysta Penn
• Lee Thomas Penn
• Roberto A Penne-Casanova, MD
• Koryn Pennebaker
• Aaron M Pennell, M.D.

• Clinical Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.