Individual provider Active NPI

Amanda Aguilar Mendoza, PSYD

  • Psychologist
  • Springfield, MA
National Provider Identifier
1891297180
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
11971 Issued in MA
Practice address
417 Liberty St
Springfield, MA 01104-3736
Phone
(413) 657-6417
NPI assigned
Mar 2, 2018
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 11971 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

417 Liberty St
Springfield, MA 01104-3736

Mailing address

417 Liberty St
Springfield, MA 01104-3736
Phone (413) 657-6417

Other practice location 1

540 S Eremland Dr
Covina, CA 91723
Phone (413) 657-6417

Other practice location 2

1625 E 4th St
Los Angeles, CA 90033-4201
Phone (413) 657-6417

Other practice location 3

540 S Eremland Dr
Covina, CA 91723
Phone (413) 657-6417

Other practice location 4

110 Maple St
Springfield, MA 01105-1864
Phone (413) 657-6417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20230418002266 MA Practitioner - Clinical Psychologist 2668847989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Network IncGroup PAC ID 3072596360, 146 clinicians

Practice addresses (Care Compare)

417 Liberty St
Springfield, MA 01104-3736
Phone (413) 736-3668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11971MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network Inc CurrentSince Jan 11, 2023 Accepting new patients
Behavioral Health Network, Inc CurrentSince Jan 11, 2023 Accepting new patients

Locations

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

110 Maple St
Springfield, MA 01105
Phone (413) 846-4300

417 Liberty St
Springfield, MA 01104
Phone (413) 733-6661

Organizations & group practices 2

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1891297180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 LIBERTY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043736",
            "telephone_number": "413-657-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 LIBERTY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043736",
            "telephone_number": "413-657-6417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 S Eremland Dr",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "91723",
            "country_code": "US",
            "telephone_number": "413-657-6417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900334201",
            "country_code": "US",
            "telephone_number": "413-657-6417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 S Eremland Dr",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "91723",
            "country_code": "US",
            "telephone_number": "413-657-6417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Maple St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011051864",
            "country_code": "US",
            "telephone_number": "413-657-6417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR MENDOZA",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11971",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.