Individual provider Active NPI

Amanda Danica Lawson-Ross, PHD

  • Psychologist
  • Gainesville, FL
National Provider Identifier
1689955023
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2121 NW 40TH Ter
Ste B
Gainesville, FL 32605-5813
Phone
(352) 336-2888
Fax
(352) 371-1730
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

2121 NW 40TH Ter
Ste B
Gainesville, FL 32605-5813

Mailing address

11 NW 33Rd CT
Gainesville, FL 32607-2552
Phone (352) 448-8195

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Morningstar Milestones, LLC Current Accepting new patients
Ernest J Bordini PHD & Assoc PA Psychologist Past Accepting new patients

Locations

11 NW 33rd Ct
Gainesville, FL 32607
Phone (352) 374-7155

Organizations & group practices 2

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1689955023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NW 33RD CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072552",
            "telephone_number": "352-448-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NW 40TH TER",
            "address_2": "STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055813",
            "telephone_number": "352-336-2888",
            "fax_number": "352-371-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON-ROSS",
        "first_name": "AMANDA",
        "middle_name": "DANICA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.