Individual provider Active NPI

Amanda Hartwig

  • School Psychologist
  • Lexington Park, MD
National Provider Identifier
1831906320
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
CER-110325-V0C6V2 Issued in MD
Practice address
46060 Millstone Landing Rd
Lexington Park, MD 20653-2149
Phone
(301) 863-4064
NPI assigned
Dec 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 CER-110325-V0C6V2 MD Primary

Addresses

Primary practice location

46060 Millstone Landing Rd
Lexington Park, MD 20653-2149

Mailing address

23160 Moakley St
Leonardtown, MD 20650-2922
Phone (240) 673-6367

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
CER-110325-V0C6V2MDMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St.Marys County Public Schools/Infants and Toddlers Program PastSince Dec 22, 2024 Accepting new patients
St. Mary'S County Public Schools PastSince Dec 22, 2024 Accepting new patients

Organizations & group practices 2

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": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1831906320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23160 MOAKLEY ST",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502922",
            "telephone_number": "240-673-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46060 MILLSTONE LANDING RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206532149",
            "telephone_number": "301-863-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MD",
            "license": "CER-110325-V0C6V2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.