Amy D. Foster

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3555 Issued in NC

Legal business name

AMY D. FOSTER

Doing business as

Fostering Minds

Practice address

2554 Lewisville Clemmons Rd Ste 303
Clemmons, NC 27012-8749

Phone

(336) 223-5060

Fax

(855) 726-7734

NPI assigned

Dec 9, 2010

Last updated

Aug 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Diachenko Foster, MA, LPANPI 1144432246

Title

Owner

Phone

(336) 223-4606

Specialties & licenses 3

Addresses

Other names 1

• Fostering Minds Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Diachenko Foster, M.A.

  • Psychologist
  • Clemmons, NC
  • NPI 1144432246
  NPD Authorized official
• Angela De Varona, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Winston Salem, NC
  • NPI 1689780322
  NPD (past)

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1487957783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550723",
            "telephone_number": "336-223-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD STE 303",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128749",
            "telephone_number": "336-223-5060",
            "fax_number": "855-726-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY D. FOSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "DIACHENKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-223-4606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "3555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fostering Minds",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fostering Minds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cory Wade Akers
• Alder Grove Counseling Collaborative, PLLC
• Yasmine Kahok Alimena, MD
• Allcare by May-Dann LLC
• Amanda Blackwell, PLLC
• Thomas Martin Anderson Jr., DDS
• Andrew W Kelly DDS PLLC (Dental Center of the Carolinas)
• Nicole Arnn, LCMHCA
• Yahav Avraham-Katz
• Mary Axom, RBT

• Community/Behavioral Health Agency in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.