Individual provider Active NPI

Amy H. Macdonald, PSY.D.

  • Clinical Psychologist
  • Batavia, IL
National Provider Identifier
1881750495
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005595 Issued in IL
Practice address
335 N River St
Suite 210
Batavia, IL 60510-2386
Phone
(630) 879-8164
Fax
(630) 879-6806
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005595 IL Primary

Addresses

Primary practice location

335 N River St
Suite 210
Batavia, IL 60510-2386

Mailing address

335 N River St
Suite 210
Batavia, IL 60510-2386
Phone (630) 879-8164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20090115000601 IL Practitioner - Clinical Psychologist 9032272125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

335 N River St
Suite 210
Batavia, IL 60510-2386
Phone (630) 879-8164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-005595ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Psychotherapy Services LLC Clinical CurrentSince Jan 25, 2010 Accepting new patients

Locations

335 N River St
Ste 210
Batavia, IL 60510
Phone (630) 879-8164

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1881750495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 N RIVER ST",
            "address_2": "SUITE 210",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102386",
            "telephone_number": "630-879-8164",
            "fax_number": "630-879-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N RIVER ST",
            "address_2": "SUITE 210",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102386",
            "telephone_number": "630-879-8164",
            "fax_number": "630-879-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "AMY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

Verify at the official NPI Registry.