Amy B Willcoxon, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1478 Issued in MT

Practice address

1077 Whitefish Stage
Kalispell, MT 59901-2735

Phone

(406) 249-0824

Fax

(406) 890-6817

NPI assigned

Jul 24, 2009

Last updated

Dec 9, 2019By 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

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hayley Allen-Blakney, LCSW, PLLC

  • Clinical Social Worker
  • Thompson Falls, MT
  • NPI 1902377096
  NPD

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1770713778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 4TH AVE W",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014816",
            "telephone_number": "406-407-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 WHITEFISH STAGE",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012735",
            "telephone_number": "406-249-0824",
            "fax_number": "406-890-6817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 1st Ave W",
            "address_purpose": "LOCATION",
            "city": "Columbia Falls",
            "state": "MT",
            "postal_code": "599123625",
            "country_code": "US",
            "telephone_number": "406-249-0824",
            "fax_number": "406-890-6817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLCOXON",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4031",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "1478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace S Wilder, M.D.
• Wilkes Speech Therapy, PLLC
• Sheridan Wilkes, M.S., CCC-SLP
• Neal W Wilkinson, MD
• Renee Wilkonski-Larson
• John L Willcut, NP
• Alan B Williams, M.D.
• Allison Taylor Williams, SWLC, MSW
• Jason Williams, RPH
• Jessica Williams

• Clinical Psychologist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Clinical Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.