Barbara S. Amidon, PHD

Individual provider Active NPI Psychologist · Hyannis, MA

NPI 1679520902 · NPPES record last updated Sep 20, 2010

Key facts

NPI
1679520902
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
7326 (MA)
Practice address
460 West Main Street
Hyannis, MA 02601-3653
Phone
(508) 790-3375
Fax
(508) 790-3304
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7326MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Healthcare Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7326 MA Yes

Addresses

Primary practice location

460 West Main Street
Hyannis, MA 02601-3653

Mailing address

460 West Main Street
Hyannis, MA 02601-3653
Phone (508) 790-3375

Other providers in Hyannis, MA

All providers in Hyannis, MA · Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.