Individual provider Active NPI

Amy Carol Ice, MD

  • Psychiatry Physician
  • GT Barrington, MA
National Provider Identifier
1912967936
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
219614 Issued in MA
Practice address
20 Lewis Avenue
GT Barrington, MA 01230
Phone
(413) 528-1845
Fax
(413) 528-3667
NPI assigned
Mar 24, 2006
Last updated
Feb 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 219614 MA Primary
Psychiatry Physician 2084P0800X 190624 NY

Addresses

Primary practice location

20 Lewis Avenue
GT Barrington, MA 01230

Mailing address

20 Lewis Avenue
GT Barrington, MA 01230
Phone (413) 528-1845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000267 NY Practitioner - Psychiatry 0547169096 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219614MAMDPsychiatry Physician
190624NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc CurrentSince Jan 18, 2016 Accepting new patients
Dennis Marcus MD PC Psychiatry Past Accepting new patients
South County Psychiatric & Psychotherapy Center Psychiatry PastSince Sep 7, 1995 Accepting new patients
Physical Therapy of Valatie, PC PastSince Sep 22, 1999 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aice1421795@nychhc.direct-ci.com
  • Direct secure messaging: huvsaci@hiemail.healtheconnections.org

Organizations & group practices 6

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1912967936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LEWIS AVENUE",
            "city": "GT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-1845",
            "fax_number": "413-528-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LEWIS AVENUE",
            "city": "GT BARRINGTON",
            "state": "MA",
            "postal_code": "01230",
            "telephone_number": "413-528-1845",
            "fax_number": "413-528-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICE",
        "first_name": "AMY",
        "middle_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "219614",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "190624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in GT Barrington, MA

Sources for this page

Verify at the official NPI Registry.