Amanda Surace Hanko, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003710 Issued in CT

Practice address

25 Church St FL 1
Branford, CT 06405-3829

Phone

(570) 840-9910

NPI assigned

Nov 17, 2017

Last updated

Dec 4, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amanda Lynn Surace Other name

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

69.09 of 100Reported as group

Quality

73.07

Promoting interoperability

0

Improvement activities

40

Cost

73.89

Merit-based Incentive Payment System (MIPS)

Final score

86.48 of 100Reported as group

Quality

72.39

Improvement activities

40

Cost

72.21

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Step Up Care PC LLC

  • Counselor
  • Danielson, CT
  • NPI 1154884740

  Clinical

  Medicare reassignment NPD
• Sunrise Psychological Services LLC

  • Psychologist
  • Prospect, CT
  • NPI 1699199869
  Medicare reassignment NPD
• Safe Haven Psychological Services LLC

  • Psychologist
  • Branford, CT
  • NPI 1063053114
  NPD Authorized official

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1538673223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHURCH ST FL 1",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053829",
            "telephone_number": "570-840-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH ST FL 1",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053829",
            "telephone_number": "570-840-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKO",
        "first_name": "AMANDA",
        "middle_name": "SURACE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SURACE",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Haas, MSW
• Maria Hacker, DMD
• Robert M. Hacker, D.M.D
• Rebecca Hale, OTR/L
• Hamden Sleep Disorders Center LLC
• Harbor Health Services, Inc.
• Harold D Levy MD PC
• Erin Harris, LO
• Harry Ardolino, M.D., LLC
• Lance R Hart, PH.D

• Clinical Psychologist in Branford, CT
• Providers in Branford, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.