Individual provider Active NPI

Amber Marie Swint

  • School Psychologist
  • Goshen, IN
National Provider Identifier
1881415933
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
10292106 Issued in IN
Practice address
1216 S Indiana Ave
Door F
Goshen, IN 46526
Phone
(574) 533-3151
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 10292106 IN Primary

Addresses

Primary practice location

1216 S Indiana Ave
Door F
Goshen, IN 46526

Mailing address

1216 S Indiana Ave
Goshen, IN 46526-7298
Phone (574) 533-3151

Other practice location 1

58901 County Road 3
Elkhart, IN 46517-9306
Phone (574) 522-0379

Other practice location 2

755 E Van Buren St
Nappanee, IN 46550-1469
Phone (574) 773-7421

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

State licenses

LicenseStateTypeSpecialty
10292106INMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1881415933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 S INDIANA AVE",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465267298",
            "telephone_number": "574-533-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 S INDIANA AVE",
            "address_2": "DOOR F",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "46526",
            "telephone_number": "574-533-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58901 County Road 3",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465179306",
            "country_code": "US",
            "telephone_number": "574-522-0379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 E Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Nappanee",
            "state": "IN",
            "postal_code": "465501469",
            "country_code": "US",
            "telephone_number": "574-773-7421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINT",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "10292106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.