Martin Jenkins Amodei Jr.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP033767 Issued in PA

Practice address

1810 Red Wing LN
Dover, PA 17315-2785

Phone

(717) 586-8859

NPI assigned

Sep 2, 2026

Last updated

Sep 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1447169982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 RED WING LN",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173152785",
            "telephone_number": "717-586-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 RED WING LN",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173152785",
            "telephone_number": "717-586-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMODEI",
        "first_name": "MARTIN",
        "middle_name": "JENKINS",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP033767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Abel
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• David App, M.S., LAT, ATC
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• Courtney Barnes, COTA/L
• Lori Kay Barton, PSYCHOLOGIST
• Travis L Baughman, P.T.

• Psychiatric/Mental Health Nurse Practitioner in Dover, PA
• Providers in Dover, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.