Individual provider Active NPI

Amy Lynn Meriweather, PH.D.

  • Psychologist
  • Mount Vernon, MO
National Provider Identifier
1821283714
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01872 Issued in MO
Practice address
1316 Deer LN
Mount Vernon, MO 65712-9789
Phone
(417) 861-3626
Fax
(417) 466-0287
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01872 MO Primary

Addresses

Primary practice location

1316 Deer LN
Mount Vernon, MO 65712-9789

Mailing address

1316 E. Deer Lane
Mount Vernon, MO 65712-9789
Phone (417) 861-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20081202000093 MO Practitioner - Clinical Psychologist 2567540172 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01872MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Apr 1, 2020 Accepting new patients
Compass Health, Inc CurrentSince Apr 1, 2020 Accepting new patients
Center of Change PastSince Nov 1, 2010 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1821283714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 E. DEER LANE",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657129789",
            "telephone_number": "417-861-3626",
            "fax_number": "417-466-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 DEER LN",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657129789",
            "telephone_number": "417-861-3626",
            "fax_number": "417-466-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIWEATHER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, MO

Sources for this page

Verify at the official NPI Registry.