Active NPI
Amanda Kay-Lynne Kopp, PSY.D.
- Clinical Psychologist
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301014628
- Practice address
- 33137 Schoolcraft Rd
Livonia, MI 48150-1625 - Phone
- (248) 220-7199
- Fax
- (248) 220-7190
- NPI assigned
- Apr 11, 2012
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301014628 | MI | Primary |
Addresses
Primary practice location
33137 Schoolcraft Rd
Livonia, MI 48150-1625
Mailing address
33137 Schoolcraft Rd
Livonia, MI 48150-1625
Phone (248) 296-6579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831122039 | Other | IRS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angie Pecsenye PLLC | Current | Accepting new patients | |
| Amanda Kopp, PSYD, PLLC | Clinical | Current | Accepting new patients |
| Mental Health Solutions, P.C. | Clinical | Current | Accepting new patients |
| Alison Orley LMSW PLLC | Past | Accepting new patients | |
| Three Birds Mental Health Services PLLC | Past | Accepting new patients |
Locations
405 Washington Blvd
Ste 201
Mundelein, IL 60060
Phone (312) 342-3380
20240 Farmington Rd
Livonia, MI 48152
Phone (248) 474-0100
31572 Schoolcraft Rd
Livonia, MI 48150
Phone (248) 296-6579
38221 Plymouth Rd
Ste 10
Livonia, MI 48150
Phone (248) 296-6579
33137 Schoolcraft Rd
Livonia, MI 48150
Phone (248) 220-7199
Organizations & group practices 5
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.
-
- Clinical Psychologist
- Livonia, MI
- NPI 1356184626
-
- Professional Counselor
- Livonia, MI
- NPI 1689496564
-
- Clinical Psychologist
- Barrington, IL
- NPI 1487891198
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomfield Township, MI
- NPI 1659876985
-
- Psychiatric/Mental Health Nurse Practitioner
- Sycamore, IL
- NPI 1144141870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1922365287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33137 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501625",
"telephone_number": "248-296-6579",
"fax_number": "248-220-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33137 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501625",
"telephone_number": "248-220-7199",
"fax_number": "248-220-7190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPP",
"first_name": "AMANDA",
"middle_name": "KAY-LYNNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301014628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "831122039",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.