Individual provider Active NPI

Amy Elizabeth Langenderfer, PSYD

  • Clinical Neuropsychologist
  • Huber Heights, OH
National Provider Identifier
1851035562
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
P.08286 Issued in OH
Practice address
4756 Fishburg Rd Ste H
Huber Heights, OH 45424-5462
Phone
(937) 567-0546
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X P.08286 OH Primary

Addresses

Primary practice location

4756 Fishburg Rd Ste H
Huber Heights, OH 45424-5462

Mailing address

PO Box 522
Pleasant Hill, OH 45359-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220622002723 OH Practitioner - Clinical Psychologist 6507245537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hessed Psychological Services LLCGroup PAC ID 0840680575, 8 clinicians

Practice addresses (Care Compare)

7021 Old Troy Pike
Suite 7
Huber Heights, OH 45424-2762
Phone (937) 567-0546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P.08286OHMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northcare Psychology, LLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

7021 Old Troy Pike
Ste 7
Huber Heights, OH 45424
Phone (937) 567-0546

7021 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 477-0305

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1851035562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "PLEASANT HILL",
            "state": "OH",
            "postal_code": "453590522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4756 FISHBURG RD STE H",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454245462",
            "telephone_number": "937-567-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENDERFER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "P.08286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.