Individual provider Active NPI

Amanda Brian, PSY.S.

  • School Psychologist
  • Cleveland, OH
National Provider Identifier
1366359481
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LSP.00001 Issued in OH
Practice address
2159 W 29TH St
Cleveland, OH 44113-4000
Phone
(440) 539-7617
NPI assigned
Aug 25, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X LSP.00001 OH Primary

Addresses

Primary practice location

2159 W 29TH St
Cleveland, OH 44113-4000

Mailing address

18708 Parkmount Ave
Cleveland, OH 44135-4050
Phone (440) 539-7617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1366359481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18708 PARKMOUNT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441354050",
            "telephone_number": "440-539-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2159 W 29TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134000",
            "telephone_number": "440-539-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIAN",
        "first_name": "AMANDA",
        "credential": "PSY.S.",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "LSP.00001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.