Individual provider Active NPI

Amanda Reed, PHD

  • Clinical Psychologist
  • Aberdeen, SD
National Provider Identifier
1649792268
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
556 Issued in SD
Practice address
634 S Roosevelt St Ste 4
Aberdeen, SD 57401-6593
Phone
(605) 366-1228
Fax
(605) 401-4104
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 556 SD Primary

Addresses

Primary practice location

634 S Roosevelt St Ste 4
Aberdeen, SD 57401-6593

Mailing address

634 S Roosevelt St Ste 4
Aberdeen, SD 57401-6593
Phone (605) 366-1228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20170905001479 SD Practitioner - Clinical Psychologist 5092088567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2301 8TH Ave NE
Suite 135
Aberdeen, SD 57401-3254
Phone (605) 366-1228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
556SDMDClinical Psychologist
962NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Bridge Psychological Services LLC Clinical CurrentSince Nov 20, 2023 Accepting new patients

Locations

2301 8th Ave NE
Ste 135
Aberdeen, SD 57401
Phone (605) 252-0947

634 S Roosevelt St
Ste 4
Aberdeen, SD 57401
Phone (605) 622-0665

Interoperability endpoints

  • Direct secure messaging: amanda.reed@avera.sdhealthlink.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1649792268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 S ROOSEVELT ST STE 4",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016593",
            "telephone_number": "605-366-1228",
            "fax_number": "605-401-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 S ROOSEVELT ST STE 4",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574016593",
            "telephone_number": "605-366-1228",
            "fax_number": "605-401-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "AMANDA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SD",
            "license": "556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.