Amanda White, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

TPS030454 Issued in PA

Practice address

1444 W 38TH St
Erie, PA 16508-2346

Phone

(814) 835-7043

NPI assigned

Oct 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18052/brand/1/csg/1/fhir/r4

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.

• Lake Erie Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Erie, PA
  • NPI 1922164409
  NPD (past)

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1487025433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 SUNRISE LAKES DR APT 12A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165097106",
            "telephone_number": "417-379-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082346",
            "telephone_number": "814-835-7043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Travis Blvd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633792715",
            "country_code": "US",
            "telephone_number": "417-597-4309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AMANDA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2015037002",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "TPS030454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Wheeler
• Wendy Louise Whetzel, PA-C
• Mary Whipple
• White Deer Run, Inc
• White Pine Center for Healing
• Erica Marie White, BSN, RN, CCRN
• Marlene White, CRNP
• Melinda White
• Teresa Ann White, RPH
• Alexis Lynne Whiteford

• Psychologist in Erie, PA
• Providers in Erie, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.