Amy R Indermuehle, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2821 Issued in CO

Practice address

109 Coronado CT
Building 7
Fort Collins, CO 80525-4929

Phone

(970) 676-3395

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Janet B Wright, Ma, MSW, LPC, Inc.

  dba Janet B Wright, LCSW, Inc.

  • Adult Mental Health Clinic/Center
  • Fort Collins, CO
  • NPI 1508950536
  NPD (past)
• Tammi Vacha Haase PHD LLC

  • Psychologist
  • Fort Collins, CO
  • NPI 1356453922
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1689609968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CORONADO CT",
            "address_2": "BUILDING 7",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254929",
            "telephone_number": "970-222-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CORONADO CT",
            "address_2": "BUILDING 7",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254929",
            "telephone_number": "970-676-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDERMUEHLE",
        "first_name": "AMY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28429877",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER NUM",
            "identifier": "671759",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Impact Chiropractic LLC
• Inadvance Medicine Associates PA (Passport Health)
• Incarnate LLC
• Inclusive ABA Co LLC
• Indepth Therapy, LLC
• Indigo Lotus, Inc (Different Strokes)
• Infinite Neurology of Colorado PLLC (Infinite Neurology)
• Infusion for Health, P.C. (Infusion For Health)
• Chloe Amelia Hughes Ingoldby, MD
• Penny Ingram, R.N.C., N.P.

• Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.