Individual provider Active NPI

Amanda Allie, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Schenectady, NY
National Provider Identifier
1699370452
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403042-01 Issued in NY
Practice address
508 Kings Rd
Schenectady, NY 12304-3619
Phone
(518) 944-6334
NPI assigned
Dec 1, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403042-01 NY Primary

Addresses

Primary practice location

508 Kings Rd
Schenectady, NY 12304-3619

Mailing address

508 Kings Rd
Schenectady, NY 12304-3619
Phone (518) 944-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210119001985 NY Practitioner - Nurse Practitioner 2769895408 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Behavioral Health Ipa, PLLCGroup PAC ID 5294703005, 23 clinicians

Practice addresses (Care Compare)

10 McKown Rd
Suite 102
Albany, NY 12203-3496
Phone (818) 689-0244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F403042-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Counseling Center of Fulton County Inc Psychiatric/Mental Health CurrentSince Nov 29, 2021 Accepting new patients
Pinnacle Behavioral Health Ipa PLLC CurrentSince Oct 19, 2024 Accepting new patients
Psychiatric Nurse Practitioner P.C Psychiatric/Mental Health CurrentSince Apr 25, 2024 Accepting new patients
New Hope Psychology and Nurse Practitioner-Psychiatry Services, PLLC Psychiatric/Mental Health CurrentSince Mar 25, 2022 Accepting new patients
Osika and Scarano Psychological Services PC Past Accepting new patients
Fort Health Medical Group PA Psychiatric/Mental Health Past Accepting new patients

Locations

10 McKown Rd
Ste 102
Albany, NY 12203
Phone (518) 689-0244

1 Broad Street Plz
Glens Falls, NY 12801
Phone (518) 744-7302

5 Pine St
Glens Falls, NY 12801
Phone (518) 637-9214

11-21 Broadway St
Gloversville, NY 12078
Phone (518) 725-4310

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1699370452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 KINGS RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123043619",
            "telephone_number": "518-944-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 KINGS RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123043619",
            "telephone_number": "518-944-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIE",
        "first_name": "AMANDA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403042-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.