Active NPI
Amy Elizabeth Langenderfer, PSYD
- Clinical Neuropsychologist
- Huber Heights, OH
National Provider Identifier
1851035562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- P.08286
- 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
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 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P.08286 | OH | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northcare Psychology, LLC | Current | 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.
-
- Psychologist
- Huber Heights, OH
- NPI 1245107457
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.