Nourish Psychology LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NOURISH PSYCHOLOGY LLC

Practice address

1257 Merrimack Dr
Davenport, FL 33837-4159

Phone

(812) 929-4593

Fax

(812) 961-6551

NPI assigned

Nov 26, 2025

Organization subpart

No

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

Authorized official

Name

Amanda M RothNPI 1588334171

Title

Owner

Phone

(812) 929-4593

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Marie Roth, PSYD

  • Psychologist
  • Bloomington, IN
  • NPI 1588334171
  NPD Authorized official

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1851253926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 MERRIMACK DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338374159",
            "telephone_number": "812-929-4593",
            "fax_number": "812-961-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 MERRIMACK DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338374159",
            "telephone_number": "812-929-4593",
            "fax_number": "812-961-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-929-4593"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manushka Noelus, MSN, APRN, FNP - C
• Daniela Sarai Nolasco Nolasco
• Melina Norberto, P.A.
• Keri Lynne Norris-Kuhn, COTA/L
• Jennifer Noto, LCSW
• Nova Wellness Loft LLC
• Novas Mercy Care Agency
• Shelby T Nowlin
• Kathy Elizabeth Noyes
• Luis Miguel Nunez Arroyo, MD

• Clinical Psychologist in Davenport, FL
• Providers in Davenport, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.