Active NPI
Amanda Rae Comstock, PSY.D.
- Clinical Psychologist
- Naperville, IL
National Provider Identifier
1457769291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008854
- Practice address
- 3380 Lacrosse Lane
Suite 112
Naperville, IL 60564 - Phone
- (708) 256-1419
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008854 | IL | Primary |
Addresses
Primary practice location
3380 Lacrosse Lane
Suite 112
Naperville, IL 60564
Mailing address
3380 Lacrosse Lane
Suite 112
Naperville, IL 60564
Phone (708) 256-1419
Other names 1
- Dr. Amanda Rae Nowak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071008854 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matter Clinical Services, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Naperville, IL
- NPI 1396094959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457769291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3380 LACROSSE LANE",
"address_2": "SUITE 112",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60564",
"telephone_number": "708-256-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 LACROSSE LANE",
"address_2": "SUITE 112",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60564",
"telephone_number": "708-256-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMSTOCK",
"first_name": "AMANDA",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "NOWAK",
"middle_name": "RAE",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Naperville, IL
- Compass Behavioral Health and Wellness, LLC
- Compassion Focused Counseling Center PLLC
- Compassionate Edge Inc
- Compassionate Psychological Services LLC
- Comprehensive Psych Solutions Inc
- Lazarick Ron'E Coney Jr.
- Connection First Speech and Language Therapy LLC
- Mary Connolly, M.D.
- Margaret Connors, DNP
- Brittany M Conrad, APN-CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.