Individual provider Active NPI

Amanda Joan Beeman, PSYD

  • Clinical Child & Adolescent Psychologist
  • Miamisburg, OH
National Provider Identifier
1477921724
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
P.7311 Issued in OH
Practice address
3300 W Tech Blvd
Miamisburg, OH 45342-4865
Phone
(937) 641-3401
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 7311 OH
Clinical Child & Adolescent Psychologist 103TC2200X P.7311 OH Primary

Addresses

Primary practice location

3300 W Tech Blvd
Miamisburg, OH 45342-4865

Mailing address

PO Box 933421
Cleveland, OH 44193-0039
Phone (937) 641-3000

Other practice location 1

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3401

Other practice location 2

7799 Joan Dr
West Chester, OH 45069-3682
Phone (513) 204-5746

Other identifiers 1

IdentifierTypeStateIssuer
0144224MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201204001921 OH Practitioner - Clinical Psychologist 4082025549 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7311OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beeman Psychology, LLC Current Accepting new patients
Dayton Children's Hospital Clinical Child & Adolescent CurrentSince Nov 1, 2020 Accepting new patients
Dayton Children's Hospital CurrentSince Nov 1, 2020 Accepting new patients

Locations

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

3300 W Tech Blvd
Miamisburg, OH 45342
Phone (937) 641-3060

76 Remick Blvd
Springboro, OH 45066
Phone (937) 641-4040

7799 Joan Dr
West Chester, OH 45069
Phone (513) 204-5746

Organizations & group practices 3

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1477921724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933421",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W TECH BLVD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453424865",
            "telephone_number": "937-641-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-3401",
            "fax_number": "937-641-3066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7799 Joan Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450693682",
            "country_code": "US",
            "telephone_number": "513-204-5746",
            "fax_number": "513-229-3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEEMAN",
        "first_name": "AMANDA",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7311",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "P.7311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.