Active NPI
Amanda Viner, PSYD
- Clinical Psychologist
- Bala Cynwyd, PA
National Provider Identifier
1801370630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018606
- Practice address
- 100 Presidential Blvd
Bala Cynwyd, PA 19004-1108 - Phone
- (484) 270-8817
- NPI assigned
- Sep 18, 2018
- Last updated
- Feb 14, 2019
- 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 | PS018606 | PA | Primary |
Addresses
Primary practice location
100 Presidential Blvd
Bala Cynwyd, PA 19004-1108
Mailing address
100 Presidential Blvd Lbby G1
Bala Cynwyd, PA 19004-1108
Other practice location 1
911 Powder Mill Ln
Wynnewood, PA 19096-4039
Phone (561) 213-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1801370630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PRESIDENTIAL BLVD LBBY G1",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PRESIDENTIAL BLVD",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041108",
"telephone_number": "484-270-8817"
}
],
"practiceLocations": [
{
"address_1": "911 Powder Mill Ln",
"address_purpose": "LOCATION",
"city": "Wynnewood",
"state": "PA",
"postal_code": "190964039",
"country_code": "US",
"telephone_number": "561-213-9595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINER",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
- Veteran Emergency Services
- Chhapean Vibol, OD
- Conor Moran Vickers, MD
- Victoria L Falcone, DO LLC (Falcone Center for Functional Cosmetic and Integrative Medicine)
- Vicvin Home Care LLC
- Visionworks, Inc. (Visionworks)
- Vista Medical Services, Inc.
- Vital Needs Home Care, LLC.
- Vitevity Health PLLC (Philadelphia Center for Sexual Medicine)
- Jeanine Marie Vivona, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.