Individual provider Active NPI

Amy Parkinson Seader, RN, PSYD

  • Clinical Psychologist
  • Jenkintown, PA
National Provider Identifier
1588808398
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016461 Issued in PA
Practice address
1708 Madeira Ave
Jenkintown, PA 19046-2211
Phone
(215) 885-8045
Fax
(215) 481-0204
NPI assigned
Apr 23, 2009
Last updated
Nov 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X PS016461 PA
Clinical Psychologist 103TC0700X PS016461 PA Primary

Addresses

Primary practice location

1708 Madeira Ave
Jenkintown, PA 19046-2211

Mailing address

1708 Madeira Ave
Jenkintown, PA 19046-2211
Phone (215) 760-3352

Other names 1

  • Amy Parkinson Wells Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090625000019 PA Practitioner - Clinical Psychologist 0042361446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of Pennsylvania LLCGroup PAC ID 0143521211, 91 clinicians

Practice addresses (Care Compare)

2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
76.62
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
PS016461PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Pennsylvania LLC Clinical CurrentSince Sep 1, 2019 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2109 Red Lion Rd
Philadelphia, PA 19115
Phone (215) 213-7000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1588808398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 MADEIRA AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462211",
            "telephone_number": "215-760-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 MADEIRA AVE",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462211",
            "telephone_number": "215-885-8045",
            "fax_number": "215-481-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEADER",
        "first_name": "AMY",
        "middle_name": "PARKINSON",
        "name_prefix": "Dr.",
        "credential": "RN, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PS016461",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WELLS",
            "middle_name": "PARKINSON",
            "credential": "MARRIED NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.