Amanda J Pillai, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2254 Issued in AL

Practice address

1713 6TH Ave S
Birmingham, AL 35294-2235

Phone

(205) 934-4107

NPI assigned

Jul 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda J Mark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1750765756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352942235",
            "telephone_number": "205-934-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAI",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9225",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AL",
            "license": "2254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MARK",
            "middle_name": "J",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine Pike, LPC, NCC
• Tammy Beth Pike
• Juan Pablo Pilco Collazos
• Nancy Pile
• Miranda Pilkington
• Martha T Pilleteri, RN
• Patricia Jean Pilon, PT
• Pin Point Radiology Management, L.P.
• Pine Hill SNF Opco LLC
• Luis F Pineda, MD, MSHA

• Clinical Neuropsychologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Neuropsychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.