AMANDA WYRICK – Psychologist, NPI 1588858435

AMANDA WYRICK is a healthcare provider. based in Murray, Utah. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 1742 (KY). The NPI Number for AMANDA WYRICK is 1588858435

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA WYRICK
NPI
1588858435
Phone
(801) 314-3400
Address
181 E MEDICAL TOWER DR
Enumeration Date
4 September 2007
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013147840
Graduation Year
2006 (20 years ago)
PAC ID
4981148830
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20240702002239
Address ID
UT841074872MU181XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

236 CLINICAL PSYCHOLOGIST in UT

Provider Addresses for AMANDA WYRICK

  • 181 E MEDICAL TOWER DR

    MURRAY, UT 841074872

    Phone: (801) 314-3400

    Fax: (801) 314-4555

    Type: Location

  • 501, Darby Creek Road, Cadentown, Lexington, Fayette County, Kentucky, 40509, United States

    SUITE 11

    LEXINGTON, KY 405091604

    Phone: (859) 314-1281

    Type: Mailing

  • Atwood Drive, Richmond, Madison County, Kentucky, 40475, United States

    RICHMOND, KY 404758898

    Phone: (859) 314-1281

    Fax: (859) 353-8032

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    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.

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: 2024-07-02

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
I20240702002239IClinical PsychologistUTTBD

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

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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.

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

Insurance plans in this area (ZIP 84107)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Does AMANDA WYRICK share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMANDA WYRICK uses 1588858435.
Can I rely on AMANDA WYRICK being an active provider?
As of the registry snapshot, AMANDA WYRICK is marked active.
What healthcare role does AMANDA WYRICK hold?
Scheduling teams often label AMANDA WYRICK under Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for AMANDA WYRICK?
AMANDA WYRICK's geographic hint is Murray, Utah in our summary view.
Why does AMANDA WYRICK have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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