Individual provider Active NPI

Amy L Clark, EDS

  • School Psychologist
  • Cape Coral, FL
National Provider Identifier
1831085182
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1531 Issued in FL
Practice address
1428 SE 31St St
Cape Coral, FL 33904-3983
Phone
(208) 755-4993
NPI assigned
Jun 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1531 FL Primary

Addresses

Primary practice location

1428 SE 31St St
Cape Coral, FL 33904-3983

Mailing address

1428 SE 31St St
Cape Coral, FL 33904-3983
Phone (208) 755-4993

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

State licenses

LicenseStateTypeSpecialty
SS1531FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innoved Psych Solutions LLC School CurrentSince Dec 21, 2025 Accepting new patients

Organizations & group practices 1

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": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1831085182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 SE 31ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043983",
            "telephone_number": "208-755-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 SE 31ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043983",
            "telephone_number": "208-755-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.