Amy A Tally, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2011005425 Issued in MO

Practice address

902 Edmond St Ste 203
Saint Joseph, MO 64501-2762

Phone

(816) 364-4300

Fax

(816) 279-8148

NPI assigned

Mar 9, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Counseling Center IncGroup PAC ID 0547161440, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Samaritan Counseling Center Inc.

  dba The Center, a Samaritan Counseling Center

  • Clinical Social Worker
  • Saint Joseph, MO
  • NPI 1255331005

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Community Hospital Association

  • Critical Access Hospital
  • Fairfax, MO
  • NPI 1942279500
  Medicare reassignment NPD
• Liberty Hospital Emergency Medicine Physicians, LLC

  • Emergency Medicine Physician
  • Liberty, MO
  • NPI 1336646736
  Medicare reassignment NPD
• Community Hospital Association

  dba Community Hospital-Fairfax

  • Rural Health Clinic/Center
  • Rock Port, MO
  • NPI 1396741302
  NPD (past)
• Community Hospital Association

  • Rural Health Clinic/Center
  • Mound City, MO
  • NPI 1518174507
  NPD (past)
• New Liberty Hospital Coporation

  dba Liberty Hospital Emergency Physicians

  • Emergency Medicine Physician
  • Liberty, MO
  • NPI 1245054295
  NPD (past)

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1518265941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST STE 203",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012762",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST STE 203",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012762",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLY",
        "first_name": "AMY",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011005425",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2011005425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE BOARD OF NURSING",
            "identifier": "2011005425",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Haider Syed, DO
• Admir Syla, MD
• Julie Lynn Szymankowski, CIT
• Ruju Talati
• Tally Health Services LLC
• Lung Kang Tan, D.P.M.
• Christian Dale Tanner, FNP-C
• Isadore Tarantino
• Tas Care Inc.
• Alana Sue Taylor, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.