NPIMap

Organization Active NPI

Modern Mental Health, Inc.

Doing business as Modern Mental Health

  • Clinical Psychologist
  • West Lafayette, IN
National Provider Identifier
1740741750
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MODERN MENTAL HEALTH, INC.
Doing business as
Modern Mental Health
Practice address
1330 Win Hentschel Blvd
West Lafayette, IN 47906-4149
Phone
(765) 444-3999
NPI assigned
Mar 31, 2019
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Dr. Amanda Lyn McKinney, PSYD HSPPNPI 1407354632
Title
Director
Phone
(765) 444-3999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X Primary
Counseling Psychologist 103TC1900X

Addresses

Primary practice location

1330 Win Hentschel Blvd
West Lafayette, IN 47906-4149

Mailing address

1330 Win Hentschel Blvd Ste 202
West Lafayette, IN 47906-4149
Phone (765) 444-3999

Other names 1

  • Modern Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927003577 IN Part B Supplier - Clinic/Group Practice 5799139580 Receives reassigned benefits from 1 practitioner
Practice locations: West Lafayette, IN

National Provider Directory

National Provider Directory

Locations

1330 Win Hentschel Blvd
West Lafayette, IN 47906
Phone (765) 215-4324

1330 Win Hentschel Blvd
Ste 202
West Lafayette, IN 47906
Phone (765) 444-3999

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1740741750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 WIN HENTSCHEL BLVD STE 202",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064149",
            "telephone_number": "765-444-3999",
            "fax_number": "765-838-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WIN HENTSCHEL BLVD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064149",
            "telephone_number": "765-444-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MENTAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-444-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD HSPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.