Individual provider Active NPI

Michael Amrhein, PH.D.

  • Clinical Psychologist
  • Ellicott City, MD
National Provider Identifier
1871007849
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06384 Issued in MD
Practice address
3565 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4528
Phone
(410) 830-0910
NPI assigned
Nov 28, 2017
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 06384 MD Primary
Clinical Psychologist 103TC0700X PSY-1693 HI
Clinical Child & Adolescent Psychologist 103TC2200X 06384 MD
Clinical Child & Adolescent Psychologist 103TC2200X PSY-1693 HI

Addresses

Primary practice location

3565 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4528

Mailing address

3565 Ellicott Mills Dr Ste B1
Ellicott City, MD 21043-4528
Phone (410) 852-8389

Other practice location 1

9521 Westwood Dr
Ellicott City, MD 21042-3727
Phone (410) 852-8389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-1693HIMDClinical Psychologist
06384MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amrhein Counseling LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

3565 Ellicott Mills Dr
Ste B1
Ellicott City, MD 21043
Phone (410) 830-0910

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1871007849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 ELLICOTT MILLS DR STE B1",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434528",
            "telephone_number": "410-852-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 ELLICOTT MILLS DR STE B1",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434528",
            "telephone_number": "410-830-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9521 Westwood Dr",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423727",
            "country_code": "US",
            "telephone_number": "410-852-8389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMRHEIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06384",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1693",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "06384",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "HI",
            "license": "PSY-1693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.