Active NPI
Amanda Gehrke, PHD
- Clinical Psychologist
- Cape Coral, FL
National Provider Identifier
1841806940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301018730
- Practice address
- 2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422 - Phone
- (239) 652-1800
- NPI assigned
- Sep 23, 2020
- 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 | 6301018730 | MI | Primary |
Addresses
Primary practice location
2489 Diplomat Pkwy E
Cape Coral, FL 33909-5422
Mailing address
Lee County VA Health Care Center
Psychology Service (116LC), 2489 Diplomat Parkway East
Cape Coral, FL 33909
Phone (239) 652-1800
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301018730 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1841806940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LEE COUNTY VA HEALTH CARE CENTER",
"address_2": "PSYCHOLOGY SERVICE (116LC), 2489 DIPLOMAT PARKWAY EAST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "33909",
"telephone_number": "239-652-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2489 DIPLOMAT PKWY E",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339095422",
"telephone_number": "239-652-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHRKE",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301018730",
"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 Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.