Individual provider Active NPI

Amanda Leigh McCaw, PSY.D.

  • Clinical Psychologist
  • Lakewood Ranch, FL
National Provider Identifier
1780298364
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10883 Issued in FL
Practice address
5325 Paylor LN Ste 200
Lakewood Ranch, FL 34240-2208
Phone
(941) 961-4936
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10883 FL Primary

Addresses

Primary practice location

5325 Paylor LN Ste 200
Lakewood Ranch, FL 34240-2208

Mailing address

5325 Paylor LN Ste 200
Lakewood Ranch, FL 34240-2208
Phone (941) 961-4936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 11, 2025 through Feb 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY10883FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1780298364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 PAYLOR LN STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342402208",
            "telephone_number": "941-961-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 PAYLOR LN STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342402208",
            "telephone_number": "941-961-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAW",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.