Individual provider Active NPI

Amy Elizabeth Allison, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1932459088
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019501-1 Issued in NY
Practice address
321 E 61St St FL 4
New York, NY 10065-8204
Phone
(347) 461-7430
Fax
(929) 321-7270
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY003902 GA
Clinical Psychologist 103TC0700X 35SI00621600 NJ
Clinical Psychologist 103TC0700X 019501-1 NY Primary

Addresses

Primary practice location

321 E 61St St FL 4
New York, NY 10065-8204

Mailing address

321 E 61St St FL 4
New York, NY 10065-8204
Phone (347) 461-7430

Other identifiers 3

IdentifierTypeStateIssuer
019501-1OtherNYNY LICENSE
35SI00621600OtherNJNJ LICENSE
PSY003902OtherGAGA LICENSES

Other names 1

  • Dr. Amy Elizabeth Lowery Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150827000310 GA Practitioner - Clinical Psychologist 8022262344 Reassigns benefits to 1 organization
I20191227000694 NY Practitioner - Clinical Psychologist 8022262344 Reassigns benefits to 2 organizations
I20200226000047 NJ Practitioner - Clinical Psychologist 8022262344 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019501-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Bergen CurrentSince Jan 1, 2020 Accepting new patients
Evolve Mental Health & Wellness PLLC Clinical Current Accepting new patients
Augusta University CurrentSince Jul 6, 2016 Accepting new patients
Memorial Psychiatry Group Clinical CurrentSince Nov 2, 2019 Accepting new patients
MSK Harrison CurrentSince Nov 2, 2019 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

997 Saint Sebastian Way
Augusta, GA 30912
Phone (706) 721-3141

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

205 E 64th St
New York, NY 10065
Phone (212) 639-3127

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1932459088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E 61ST ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658204",
            "telephone_number": "347-461-7430",
            "fax_number": "929-321-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E 61ST ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658204",
            "telephone_number": "347-461-7430",
            "fax_number": "929-321-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003902",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00621600",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019501-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "019501-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "35SI00621600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSES",
            "identifier": "PSY003902",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LOWERY",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.