Amanda Lyn McKinney, PSY.D., HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071021044 Issued in IL

Practice address

1330 Win Hentschel Blvd Ste 202
West Lafayette, IN 47906-4149

Phone

(765) 444-3999

NPI assigned

Jan 23, 2018

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synapse Mental Health PLLC

  dba Synapse Collaborative

  • Clinical Psychologist
  • Carbondale, IL
  • NPI 1396638847
  Medicare reassignment NPD Authorized official
• Modern Mental Health, Inc.

  dba Modern Mental Health

  • Clinical Psychologist
  • West Lafayette, IN
  • NPI 1740741750
  NPD Authorized official
• Synapse Collaborative LLC

  dba Synapse Collaborative

  • Clinical Psychologist
  • Carbondale, IL
  • NPI 1134913379
  NPD Authorized official
• Superpsyched, LLC

  • Speech-Language Pathologist
  • Merrillville, IN
  • NPI 1447923321

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1407354632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 WIN HENTSCHEL BLVD STE 202",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WIN HENTSCHEL BLVD STE 202",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064149",
            "telephone_number": "765-444-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Cedar Ct",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629015335",
            "country_code": "US",
            "telephone_number": "618-467-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "AMANDA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043000A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071021044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Charles McCullum, D.P.T.
• Emily McGirt
• Julia Ann McGlone
• Tomessa McGraw
• Amber McKee
• Brooke McKinnon, ATC
• Corrine McMillan
• Brandi McNaire
• Lory A McPhearson
• Ann L McPherson, OT, CHT

• Clinical Psychologist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.