Active NPI
Amanda Sheehan, LMFT
- Marriage & Family Therapist
- Longmeadow, MA
National Provider Identifier
1891127668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1676
- Practice address
- 1200 Converse St
Longmeadow, MA 01106-1675 - Phone
- (413) 306-9678
- NPI assigned
- Aug 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1676 | MA | Primary |
Addresses
Primary practice location
1200 Converse St
Longmeadow, MA 01106-1675
Mailing address
1200 Converse St Ste L3
Longmeadow, MA 01106-1760
Phone (413) 306-9678
Other names 1
- Amanda Ramdass-Derby
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 1, 2024 through Jun 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1676 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1891127668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CONVERSE ST STE L3",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061760",
"telephone_number": "413-306-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONVERSE ST",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061675",
"telephone_number": "413-306-9678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "AMANDA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "1676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "RAMDASS-DERBY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.