Individual provider Active NPI

Amy Damore, PSY.D.

  • Clinical Psychologist
  • Woodinville, WA
National Provider Identifier
1346795473
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY.61361216 Issued in WA
Practice address
14400 NE 145TH St
Suite 306
Woodinville, WA 98072
Phone
(224) 764-1421
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.009288 IL
Clinical Psychologist 103TC0700X PY.61361216 WA Primary

Addresses

Primary practice location

14400 NE 145TH St
Suite 306
Woodinville, WA 98072

Mailing address

16150 NE 85TH St Ste 121
Redmond, WA 98052-3542
Phone (425) 868-5777

Other identifiers 1

IdentifierTypeStateIssuer
071.009288OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160902000714 IL Practitioner - Clinical Psychologist 6901192798 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.009288ILMDClinical Psychologist
PY.61361216WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Amy Damore PLLC Clinical Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Aug 23, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Aug 23, 2024 Accepting new patients

Locations

13128 Totem Lake Blvd NE
Ste 104
Kirkland, WA 98034
Phone (425) 202-7748

12025 115th Ave NE
Ste 200
Kirkland, WA 98034
Phone (425) 821-1810

16150 NE 85th St
Ste 121
Redmond, WA 98052
Phone (425) 868-5777

14400 NE 145th St
Ste 306
Woodinville, WA 98072
Phone (224) 764-1142

Interoperability endpoints

  • Direct secure messaging: amy.damore.1@28621.direct.athenahealth.com

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1346795473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 121",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523542",
            "telephone_number": "425-868-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 NE 145TH ST",
            "address_2": "SUITE 306",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "98072",
            "telephone_number": "224-764-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMORE",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009288",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY.61361216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "071.009288",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.