Amanda Rose Anderson, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY10162 Issued in FL

Practice address

7001 University Blvd
Winter Park, FL 32792

Phone

(407) 853-7700

Fax

(407) 853-7739

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Boys Town of Central Florida, Inc.

  • Counselor
  • Oviedo, FL
  • NPI 1245348879
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1831572940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 UNIVERSITY BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926719",
            "telephone_number": "407-853-7700",
            "fax_number": "407-853-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 UNIVERSITY BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "407-853-7700",
            "fax_number": "407-853-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PY10162",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anamaria Shanley, MSN, Aprn, PLLC
• Anchor Direct Primary Care, LLC
• Anchor Pelvic Physical Therapy
• Dolores M Andersen, R.N.
• Debbie-Ann Patrice Anderson-Delaine, ARNP
• Ashley Dawne Anderson, MD
• Bryant Marshall Anderson, D.M.D
• Christen Anderson, M.A.
• John Anthony Anderson, MD
• Karita Anderson

• Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.