| NPI | 1073067526 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2016-08-12 |
| Last Updated | 2021-10-28 |
| Mailing Address | 250 N Shadeland Ave Indianapolis, IN 46219-4959 United States 📍 View Map |
| Primary Practice Address | 550 University Blvd Indianapolis, IN 46202-5149 United States Phone: (317) 944-2891 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 103TH0004X – Psychologist, Health | IN | 20042966A |
| Yes | 103TC0700X – Psychologist, Clinical | IN | 20042966A |
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About NPI 1073067526
Amanda E Wakefield PSY.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073067526. The primary specialty listed is Psychologist, Clinical. The provider is located in Indianapolis, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-08-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073067526?
NPI 1073067526 belongs to Amanda E Wakefield PSY.D., a Psychologist, Clinical in Indianapolis, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073067526 active?
The current status of NPI 1073067526 in the NPPES registry is Active. The record was last updated on 2021-10-28.
What specialty is NPI 1073067526?
NPI 1073067526 is classified under the taxonomy Psychologist, Clinical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073067526?
You can verify NPI 1073067526 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073067526?
The primary practice address on file for NPI 1073067526 is 550 University Blvd, Indianapolis, IN 46202-5149. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073067526 issued?
NPI 1073067526 was first issued (enumerated) on 2016-08-12. The NPPES record was last updated on 2021-10-28.
Practice Location Map
Amanda E Wakefield is located at 550 University Blvd, Indianapolis, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Amanda E Wakefield. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073067526. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychologist, Health | 20042966A | IN |
| Psychologist, Clinical | 20042966A | IN |