Organization Active NPI

Amy E Barr PHD PA

  • Clinical Neuropsychologist
  • Sarasota, FL
National Provider Identifier
1609959055
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY4915 Issued in FL
Legal business name
AMY E BARR PHD PA
Practice address
2650 Bahia Vista St
Suite 201
Sarasota, FL 34239-2635
Phone
(941) 951-6504
Fax
(941) 951-6433
NPI assigned
Oct 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Amy Elizabeth Barr, PH.D.NPI 1508054040
Title
President
Phone
(941) 951-6504

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X PY4915 FL Primary
Adult Development & Aging PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0700X PY4915 FL
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PY4915 FL
Health Service PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0100X PY4915 FL

Addresses

Primary practice location

2650 Bahia Vista St
Suite 201
Sarasota, FL 34239-2635

Mailing address

2650 Bahia Vista St
Suite 201
Sarasota, FL 34239-2635
Phone (941) 951-6504

Other identifiers 1

IdentifierTypeStateIssuer
59693OtherFLBLUE CROSS BLUE SHIELD FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071214000559 FL Part B Supplier - Clinic/Group Practice 2961592829 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1609959055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392635",
            "telephone_number": "941-951-6504",
            "fax_number": "941-951-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "SUITE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392635",
            "telephone_number": "941-951-6504",
            "fax_number": "941-951-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY E BARR PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-951-6504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY4915",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY4915",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4915",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "FL",
            "license": "PY4915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "59693",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.