Amanda Lea Feagin, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5113 Issued in NC

Practice address

2005 Hope Mills Rd
Fayetteville, NC 28304-4224

Phone

(910) 635-1685

Fax

(910) 900-2859

NPI assigned

Feb 22, 2007

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Purple Paws, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fayetteville, NC
  • NPI 1467184663
  Authorized official Same address or phone
• Healthy Resolutions Clinic PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1841811593
  NPD
• The Willow Group, P.C.

  • Mental Health Counselor
  • Council Bluffs, IA
  • NPI 1528182896
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1700911781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044224",
            "telephone_number": "910-635-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044224",
            "telephone_number": "910-635-1685",
            "fax_number": "910-900-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAGIN",
        "first_name": "AMANDA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1357",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayetteville Woman's Care
• Fayetteville Womans Care PA
• Fayettevillevamc
• Max Henry Faykus Jr., M.D.
• David C Fazekas
• Frank A Fedele, MD
• Precious Feely
• Alexis Taylor Fehervari, DO
• Diamond Felder
• Anna Caitlyn Felmer, PHARMD

• Psychologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.