Active NPI
Amanda Marie Flood, PH.D.
- Clinical Psychologist
- Gaithersburg, MD
National Provider Identifier
1780645218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04101
- Practice address
- Columbia-Arora Group Joint Venture
903 Russell Ave., 4TH Floor
Gaithersburg, MD 20879-3282 - Phone
- (301) 947-1400
- NPI assigned
- Apr 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04101 | MD | Primary |
Addresses
Primary practice location
Columbia-Arora Group Joint Venture
903 Russell Ave., 4TH Floor
Gaithersburg, MD 20879-3282
Mailing address
1034 Guadalcanal St
Port Hueneme, CA 93041-4315
Phone (805) 832-4105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04101 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1780645218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 GUADALCANAL ST",
"city": "PORT HUENEME",
"state": "CA",
"postal_code": "930414315",
"telephone_number": "805-832-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COLUMBIA-ARORA GROUP JOINT VENTURE",
"address_2": "903 RUSSELL AVE., 4TH FLOOR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793282",
"telephone_number": "301-947-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOOD",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-02",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.