Individual provider Active NPI

Amanda Courtney Elliott, D.O.

  • Child & Adolescent Psychiatry Physician
  • Iowa City, IA
National Provider Identifier
1972739894
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
4332 Issued in IA
Practice address
200 Hawkins Dr
Department of Psychiatry - 1870 JPP
Iowa City, IA 52242-1009
Phone
(319) 356-1188
Fax
(319) 384-8843
NPI assigned
Jun 5, 2009
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 4332 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Department of Psychiatry - 1870 JPP
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Department of Psychiatry - 1870 JPP
Iowa City, IA 52242-1009
Phone (319) 356-1188

Other practice location 1

500 Blank Honors Ctr
Iowa City, IA 52242-0454
Phone (319) 467-4526

Other names 1

  • Ms. Amanda Courtney Blount Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20140626000136 IA Practitioner - Psychiatry 3072753524 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4332IAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Child & Adolescent Psychiatry CurrentSince May 1, 2025 Accepting new patients
State University of Iowa CurrentSince Jul 31, 2014 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#1870
Iowa City, IA 52242
Phone (319) 356-1188

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

600 Blank Honors Ctr
Iowa City, IA 52242
Phone (319) 335-6148

Interoperability endpoints

  • Direct secure messaging: aelliott51195@uihcdirect.org

Organizations & group practices 3

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1972739894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPARTMENT OF PSYCHIATRY - 1870 JPP",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-1188",
            "fax_number": "319-384-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPARTMENT OF PSYCHIATRY - 1870 JPP",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-1188",
            "fax_number": "319-384-8843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Blank Honors Ctr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522420454",
            "country_code": "US",
            "telephone_number": "319-467-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "AMANDA",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BLOUNT",
            "middle_name": "COURTNEY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.