Individual provider Active NPI

Amanda McJunkins, APRN, LCSW

  • Psychiatric/Mental Health Nurse Practitioner
  • New London, CT
National Provider Identifier
1528488939
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13724 Issued in CT
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 442-0711
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008813 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13724 CT Primary

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Other names 1

  • Amanda Jean McJunkins Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141219000481 CT Practitioner - Clinical Social Worker 8325361538 Reassigns benefits to 1 organization
I20241213000935 CT Practitioner - Nurse Practitioner 8325361538 Reassigns benefits to 1 organization
I20250131002001 RI Practitioner - Nurse Practitioner 8325361538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middlesex HospitalGroup PAC ID 5092611731, 231 clinicians
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

21 Pleasant St
Middletown, CT 06457-3604
Phone (860) 358-8842

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 444-3735

45 Wells St
Suite 104
Westerly, RI 02891-2927
Phone (401) 348-0008

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020
  • Lawrence & Memorial Hospital Hospital, New London, CT, CCN 070007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008813CTMDClinical Social Worker
13724CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Clinical CurrentSince Jan 13, 2025 Accepting new patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital Clinical Current Accepting new patients
Middlesex Hospital CurrentSince Oct 20, 2014 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 13, 2025 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients
Middlesex Hospital CurrentSince Oct 20, 2014 Accepting new patients
Middlesex Hospital PastSince Sep 1, 2001 Accepting new patients

Locations

103 S Main St
Middletown, CT 06457
Phone (860) 358-8760

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

21 Pleasant St
Middletown, CT 06457
Phone (860) 344-8224

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

1250 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 388-1495

91 Voluntown Rd
Pawcatuck, CT 06379
Phone (860) 599-5477

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

45 Wells St
Ste 104
Westerly, RI 02891
Phone (401) 348-0008

45 East Ave
Westerly, RI 02891
Phone (401) 596-6000

Interoperability endpoints

  • Direct secure messaging: amcjunkins608423@direct.ynhh.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1528488939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCJUNKINS",
        "first_name": "AMANDA",
        "credential": "APRN, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008813",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MCJUNKINS",
            "middle_name": "JEAN",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.