Individual provider Active NPI

Amanda M Kingston, M.D.

  • Psychiatry Physician
  • Abington, PA
National Provider Identifier
1770924771
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD477451 Issued in PA
Practice address
1245 Highland Ave Ste 308
Abington, PA 19001-3724
Phone
(215) 481-5450
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 56214 CT
Psychiatry Physician 2084P0800X 2017018232 MO
Psychiatry Physician 2084P0800X MD477451 PA Primary

Addresses

Primary practice location

1245 Highland Ave Ste 308
Abington, PA 19001-3724

Mailing address

1101 Market St FL 30
Philadelphia, PA 19107-2934
Phone (215) 481-3915

Other practice location 1

1 Hospital Dr
Columbia, MO 65212-1000
Phone (573) 286-0195

Other practice location 2

One Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-8913

Other practice location 3

616 Burkarth Rd
Warrensburg, MO 64093-1462
Phone (888) 403-1071

Other practice location 4

600 E 5th St
Fulton, MO 65251-1753
Phone (573) 592-2030

Other names 1

  • Amanda M Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171016003173 MO Practitioner - Psychiatry 8527334762 Reassigns benefits to 2 organizations
I20220901000071 PA Practitioner - Psychiatry 8527334762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Kansas City, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

1245 Highland Ave
Suite 308
Abington, PA 19001-3724
Phone (215) 481-5450

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56214CTMDPsychiatry Physician
2017018232MOMDPsychiatry Physician
MD477451PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri Psychiatry CurrentSince Mar 1, 2021 Accepting new patients
State of Missouri Psychiatry CurrentSince Mar 1, 2021 Accepting new patients
Compass Health, Inc CurrentSince Dec 16, 2018 Accepting new patients
Abington Memorial Hospital CurrentSince Jul 1, 2022 Accepting new patients
Abington Memorial Hospital Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Compass Health, Inc CurrentSince Dec 16, 2018 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

600 E 5th St
Fulton, MO 65251
Phone (573) 592-2623

520 Burkarth Rd
Ste C
Warrensburg, MO 64093
Phone (660) 747-2286

616 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 747-7127

1245 Highland Ave
Ste 308
Abington, PA 19001
Phone (215) 481-2589

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1770924771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MARKET ST FL 30",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072934",
            "telephone_number": "215-481-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE STE 308",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013724",
            "telephone_number": "215-481-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652121000",
            "country_code": "US",
            "telephone_number": "573-286-0195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "One Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-8913",
            "fax_number": "573-884-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 Burkarth Rd",
            "address_purpose": "LOCATION",
            "city": "Warrensburg",
            "state": "MO",
            "postal_code": "640931462",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MO",
            "postal_code": "652511753",
            "country_code": "US",
            "telephone_number": "573-592-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGSTON",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "56214",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2017018232",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD477451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "THOMAS",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.