DR. AMY ANDERSON (PHD) – Clinical Psychologist, NPI 1962528646

DR. AMY ANDERSON (PHD) is a healthcare provider. based in Westlake, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 6528 (OH). The NPI Number for DR. AMY ANDERSON (PHD) is 1962528646

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY ANDERSON (PHD)
NPI
1962528646
Phone
(330) 650-0175
Address
30400 DETROIT RD
Enumeration Date
22 March 2007
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306208535
Graduation Year
2007 (19 years ago)
PAC ID
5092864926
Professional Enrollment ID
I20090522000275
Address ID
OH442247345ST3900XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. AMY ANDERSON (PHD)

  • 30400 DETROIT RD

    SUITE 404

    WESTLAKE, OH 441451872

    Phone: (330) 650-0175

    Type: Mailing

  • 3900 DARROW RD UNIT 2704

    STOW, OH 442247345

    Phone: (330) 620-8535

    Fax: (234) 380-5930

    Type: Mailing

  • 209 S MAIN ST

    8TH FLOOR

    AKRON, OH 44308

    Phone: (330) 620-8535

    Fax: (234) 380-5930

    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: 2009-05-22

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
I20090522000275IClinical PsychologistOHTBD

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 hour21314$0
View full utilization report →

Insurance plans in this area (ZIP 44145)

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Reviews

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Frequently asked questions

What number should I use to identify DR. AMY ANDERSON (PHD) for billing?
Administrative and clinical systems typically use NPI 1962528646 for DR. AMY ANDERSON (PHD).
Is DR. AMY ANDERSON (PHD)'s NPI status active today?
Active status means DR. AMY ANDERSON (PHD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. AMY ANDERSON (PHD)?
NPPES ties DR. AMY ANDERSON (PHD) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. AMY ANDERSON (PHD)?
DR. AMY ANDERSON (PHD) is associated with Westlake, Ohio in the same public data insurers reference.
Can I export DR. AMY ANDERSON (PHD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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