Individual provider Active NPI

Amy Untied, PSY.D.

  • Clinical Psychologist
  • Zanesville, OH
National Provider Identifier
1982028411
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7110 Issued in OH
Practice address
2800 Maple Ave
Zanesville, OH 43701-1716
Phone
(614) 388-7704
NPI assigned
Feb 4, 2014
Last updated
Feb 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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 7110 OH Primary

Addresses

Primary practice location

2800 Maple Ave
Zanesville, OH 43701-1716

Mailing address

2800 Maple Ave
Zanesville, OH 43701-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200624003428 OH Practitioner - Clinical Psychologist 2860814589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Neuropsych Center of Greater Cincinnati LLCGroup PAC ID 2567754815, 17 clinicians
Columbus Womens Wellness LLCGroup PAC ID 1254608433, 22 clinicians

Practice addresses (Care Compare)

4015 Executive Park Dr
Suite 320
Cincinnati, OH 45241-4015
Phone (513) 563-0488

4625 Morse Rd
Suite 200
Gahanna, OH 43230-8355
Phone (614) 383-8381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7110OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beavercreek Hand and Body Therapy CurrentSince Jul 1, 2020 Accepting new patients
Neuropsych Center of Greater Cincinnati LLC CurrentSince Mar 1, 2025 Accepting new patients
Columbus Women's Wellness, LLC Clinical CurrentSince Mar 24, 2025 Accepting new patients
Neuropsych Center of Greater Cincinnati LLC Clinical CurrentSince Mar 1, 2025 Accepting new patients
Neuropsych Center of Greater Cincinnati Clinical Past Accepting new patients

Locations

4015 Executive Park Dr
Ste 320
Cincinnati, OH 45241
Phone (513) 563-0488

4625 Morse Rd
Ste 200
Gahanna, OH 43230
Phone (614) 383-8381

1460 Manning Pkwy
Powell, OH 43065
Phone (614) 383-8381

1525 Xenia Ave
Yellow Springs, OH 45387
Phone (937) 478-4210

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, 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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1982028411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011716",
            "telephone_number": "614-388-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTIED",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.