DR. AMANDA E WAKEFIELD (PSY.D.) – Clinical Psychologist, NPI 1073067526

DR. AMANDA E WAKEFIELD (PSY.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 20042966A (IN). The NPI Number for DR. AMANDA E WAKEFIELD (PSY.D.) is 1073067526

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA E WAKEFIELD (PSY.D.)
NPI
1073067526
Phone
Not provided
Address
250 N SHADELAND AVE
Enumeration Date
12 August 2016
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3179637300
Graduation Year
2015 (11 years ago)
PAC ID
0446548556
Group Practice PAC ID
5799755864
Professional Enrollment ID
I20161005001181
Address ID
IN462022279IN355XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

Provider Addresses for DR. AMANDA E WAKEFIELD (PSY.D.)

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 355 W 16th St Ste 2800

    Indianapolis, IN 462022279

    Phone: (317) 962-3999

    Type: Location

  • North Meridian Street, Spring Mill Woods, Indianapolis, Indiana, 46074:46260, United States

    INDIANAPOLIS, IN 462602643

    Phone: (317) 706-7246

    Fax: (317) 818-0929

    Type: Mailing

  • 550 UNIVERSITY BLVD

    INDIANAPOLIS, IN 462025149

    Phone: (317) 944-2891

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161005001181IClinical PsychologistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour9914$0
90853Group psychotherapy5711$0
90834Psychotherapy, 45 minutes3514$0
90791Psychiatric diagnostic evaluation1818$0
View full utilization report →

Insurance plans in this area (ZIP 46219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799755864View full group profile
NameSpecialtyState
-IN
Physician AssistantIN
Physician AssistantIN
Physician AssistantIN
Clinical PsychologistIN
Nurse PractitionerIN
Nurse PractitionerIN
P S Y C H I A T R YIN
Nurse PractitionerIN
G A S T R O E N T E R O L O G YIN

Reviews

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Frequently asked questions

How do I look up DR. AMANDA E WAKEFIELD (PSY.D.) by NPI?
Use NPI 1073067526 when you need to reference DR. AMANDA E WAKEFIELD (PSY.D.) in forms, claims, or directories.
Is DR. AMANDA E WAKEFIELD (PSY.D.)'s NPI currently valid?
The extract we use shows DR. AMANDA E WAKEFIELD (PSY.D.) as active.
Can you summarize DR. AMANDA E WAKEFIELD (PSY.D.)'s specialty in plain language?
Clinically, the directory lists DR. AMANDA E WAKEFIELD (PSY.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. AMANDA E WAKEFIELD (PSY.D.)?
The page summarizes Indianapolis, Indiana for DR. AMANDA E WAKEFIELD (PSY.D.); expand the address list for detail.
Is DR. AMANDA E WAKEFIELD (PSY.D.) a real provider?
This page reflects official NPPES data for NPI 1073067526. Always confirm identity and privileges with the practice and licensing boards.

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