Individual provider Active NPI

Amanda Kay-Lynne Kopp, PSY.D.

  • Clinical Psychologist
  • Livonia, MI
National Provider Identifier
1922365287
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014628 Issued in MI
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

Updated by the provider on Mar 6, 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 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

IdentifierTypeStateIssuer
831122039OtherIRS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718001763 MI Practitioner - Clinical Psychologist 5597920629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angie Pecsenye PLLC CurrentSince Nov 1, 2024 Accepting new patients
Amanda Kopp, PSYD, PLLC Clinical CurrentSince Feb 1, 2026 Accepting new patients
Mental Health Solutions, P.C. Clinical CurrentSince Nov 15, 2012 Accepting new patients
Alison Orley LMSW PLLC PastSince Aug 12, 2018 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.

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

Verify at the official NPI Registry.