AMANDA DOUGHERTY (PSY.D.) – Clinical Psychologist, NPI 1841255684

AMANDA DOUGHERTY (PSY.D.) is a healthcare provider. based in Jefferson city, Missouri. specializing in Clinical Psychologist. They hold the professional credentials PSY.D.. They hold a License No. 2006031373 (MO). The NPI Number for AMANDA DOUGHERTY (PSY.D.) is 1841255684

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA DOUGHERTY (PSY.D.)
NPI
1841255684
Phone
(573) 644-7909
Address
3401 W TRUMAN BLVD STE 100
Enumeration Date
17 April 2006
Last Update Date
15 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736447909
Graduation Year
2006 (20 years ago)
PAC ID
2769570399
Group Practice PAC ID
0446430698
Professional Enrollment ID
I20071115000508
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for AMANDA DOUGHERTY (PSY.D.)

  • 3401 W TRUMAN BLVD STE 100

    JEFFERSON CITY, MO 651095752

    Phone: (573) 644-7909

    Fax: (573) 644-7908

    Type: Location

  • 3, Vine Avenue Northeast, Fort Walton Beach, Okaloosa County, Florida, 32548, United States

    FORT WALTON BEACH, FL 325485069

    Phone: (850) 226-7666

    Fax: (850) 226-7499

    Type: Location

  • West Truman Boulevard, Jefferson City, Cole County, Missouri, 65109, United States

    JEFFERSON CITY, MO 651095752

    Phone: (573) 644-7909

    Fax: (573) 644-7908

    Type: Mailing

  • 1041 JOHN SIMS PKWY E

    NICEVILLE, FL 325782712

    Phone: (850) 389-8489

    Fax: (844) 377-9201

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65109)

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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: 0446430698View full group profile
NameSpecialtyState
DR. RICHARD P LILLARD (PSY.D.)
-MO
JESSICA REA HARRIS (LCSW)
-MO
DEBORAH M MIDDLETON
-MO
MRS. LORI MARIE DREYER (LCSW)
-MO

Reviews

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Frequently asked questions

What is AMANDA DOUGHERTY (PSY.D.)'s NPI number?
AMANDA DOUGHERTY (PSY.D.)'s NPI is 1841255684 — the number used across U.S. healthcare to identify this provider.
Is AMANDA DOUGHERTY (PSY.D.) shown as active in public data?
Registry records indicate AMANDA DOUGHERTY (PSY.D.) maintains an active NPI.
How would a patient describe AMANDA DOUGHERTY (PSY.D.)'s focus?
For AMANDA DOUGHERTY (PSY.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is AMANDA DOUGHERTY (PSY.D.) associated with Jefferson City?
Public fields place AMANDA DOUGHERTY (PSY.D.) around Jefferson City, Missouri. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for AMANDA DOUGHERTY (PSY.D.) is noted as April 17, 2006 where the registry provides it.

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