Active NPI
Amanda Octavia Nichole Hardy-Miller, PHD
- Counseling Psychologist
- Goodfellow, TX
National Provider Identifier
1528374154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY.0003909
- Practice address
- 271 Ft Richardson Ave
Goodfellow, TX 76908 - Phone
- (325) 654-3122
- Fax
- (325) 654-5161
- NPI assigned
- Aug 20, 2010
- Last updated
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY.0003909 | CO | Primary |
Addresses
Primary practice location
271 Ft Richardson Ave
Goodfellow, TX 76908
Mailing address
271 Ft Richardson Ave
Goodfellow Air Force Base, TX 76908
Phone (325) 654-3122
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0003909 | CO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1528374154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 FT RICHARDSON AVE",
"city": "GOODFELLOW AIR FORCE BASE",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 FT RICHARDSON AVE",
"city": "GOODFELLOW",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-3122",
"fax_number": "325-654-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY-MILLER",
"first_name": "AMANDA",
"middle_name": "OCTAVIA NICHOLE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2023-02-14",
"certification_date": "2023-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "PSY.0003909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodfellow, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.