Active NPI
Amy L. Patterson
- School Psychologist
- Peninsula, OH
National Provider Identifier
1740193135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 02791
- Practice address
- 4351 Quick Rd
Peninsula, OH 44264-9712 - Phone
- (330) 928-1223
- NPI assigned
- Sep 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 02791 | OH | Primary |
Addresses
Primary practice location
4351 Quick Rd
Peninsula, OH 44264-9712
Mailing address
4351 Quick Rd
Peninsula, OH 44264-9712
Phone (330) 928-1223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1740193135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 QUICK RD",
"city": "PENINSULA",
"state": "OH",
"postal_code": "442649712",
"telephone_number": "330-928-1223",
"fax_number": "330-928-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 QUICK RD",
"city": "PENINSULA",
"state": "OH",
"postal_code": "442649712",
"telephone_number": "330-928-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "AMY",
"middle_name": "L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "OH",
"license": "02791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peninsula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.