Individual provider Active NPI

Amanda M Seabolt, PH.D., PMHNP-BC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sylvania, OH
National Provider Identifier
1669113403
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0038240 Issued in OH
Practice address
5151 Main St
Sylvania, OH 43560-2184
Phone
(419) 266-0072
Fax
(419) 754-2306
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN.393970 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0038240 OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704419865 MI

Addresses

Primary practice location

5151 Main St
Sylvania, OH 43560-2184

Mailing address

5151 Main St
Sylvania, OH 43560-2184
Phone (419) 266-0072

Other practice location 1

7110 W Central Ave Ste E
Toledo, OH 43617-3115
Phone (419) 266-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250106002893 OH Practitioner - Nurse Practitioner 5991233819 Reassigns benefits to 4 organizations
I20250609003394 MI Practitioner - Nurse Practitioner 5991233819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Care Solutions for Adults and Seniors IncGroup PAC ID 4880918051, 71 clinicians

Practice addresses (Care Compare)

1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055
Phone (877) 906-9699

39465 W 14 Mile Rd
Novi, MI 48377-1600
Phone (877) 906-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.393970OHMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Psychiatric Services PLLC CurrentSince Dec 2, 2024 Accepting new patients
Geriatric Psychiatric Services PLLC CurrentSince Dec 2, 2024 Accepting new patients
Mind Redo CurrentSince Feb 10, 2025 Accepting new patients
Maverick Mental Health, LLC CurrentSince Dec 14, 2025 Accepting new patients
Behavioral Care Solutions for Adults and Seniors, Inc. Psychiatric/Mental Health CurrentSince Apr 30, 2025 Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367

7110 W Central Ave
Ste E
Toledo, OH 43617
Phone (419) 266-0072

7320 State Route 108
Ste A
Wauseon, OH 43567
Phone (419) 285-6655

Organizations & group practices 6

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1669113403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602184",
            "telephone_number": "419-266-0072",
            "fax_number": "419-754-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602184",
            "telephone_number": "419-266-0072",
            "fax_number": "419-754-2306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7110 W Central Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173115",
            "country_code": "US",
            "telephone_number": "419-266-0072",
            "fax_number": "419-754-2306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEABOLT",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D., PMHNP-BC,  RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN.393970",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0038240",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704419865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.