Individual provider Active NPI

Amy Cameron

  • Clinical Psychologist
  • Lincoln, RI
National Provider Identifier
1689021768
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01558 Issued in RI
Practice address
640 George Washington Highway
Suite B200
Lincoln, RI 02865
Phone
(401) 294-0451
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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 PS01558 RI Primary

Addresses

Primary practice location

640 George Washington Highway
Suite B200
Lincoln, RI 02865

Mailing address

91 Point Judith Rd Ste 26
Narragansett, RI 02882-3468
Phone (401) 812-5174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20230313002056 RI Practitioner - Clinical Psychologist 7719351857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shoreline Cognitive Behavioral Therapy and Coaching Shoreline CBT 6 clinicians

Practice addresses (Care Compare)

91 Point Judith Rd
Suite 26
Narragansett, RI 02882-3468
Phone (401) 812-5174

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Cognitive Behavioral Therapy and Coaching Shoreline CBT CurrentSince Apr 6, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 25, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jan 25, 2024 Accepting new patients

Locations

400 Massasoit Ave
Ste 305
East Providence, RI 02914
Phone (401) 268-5218

300 Front St
Unit 1D
Lincoln, RI 02865
Phone (401) 812-5174

1130 Ten Rod Rd
Ste E305
North Kingstown, RI 02852
Phone 4012940451824

91 Point Judith Rd
Ste 26
Point Judith, RI 02882
Phone (401) 222-5960

Interoperability endpoints

  • Direct secure messaging: amy.cameron.1@28623.direct.athenahealth.com

Organizations & group practices 3

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": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1689021768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 POINT JUDITH RD STE 26",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823468",
            "telephone_number": "401-812-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GEORGE WASHINGTON HIGHWAY",
            "address_2": "SUITE B200",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-294-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.