Active NPIIndividual provider

Dr. Amanda G Whitacre, PHD

Psychologist, Clinical in Stamford, Connecticut

NPI Number1770925018
Practice location
1200 High Ridge RD, Stamford, CT 06905-1223
Fax
—
Last updated
September 17, 2020

Amanda Gail Whitacre is a Psychologist, Clinical based in Stamford, CT. Amanda Gail Whitacre practices in Stamford, CT and has the professional credentials of PHD. The NPI Number for Amanda Gail Whitacre is 1770925018 and holds a License No. 003916 (CT). The current practice location address for Amanda Gail Whitacre is 1200 High Ridge RD, Stamford, CT 06905-1223 and can be reached out via phone at 203-580-3595.

Provider Profile Details

NPI Number
1770925018
Provider Name
Amanda Gail Whitacre
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1200 High Ridge RD, Stamford, CT 06905-1223
Phone Number
203-580-3595
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2013
Last Update Date
September 17, 2020
Certification Date
September 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 High Ridge RD
Stamford, CT 06905-1223
Zip
06905-1223
Phone Number
203-580-3595
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
264 Sound Beach Ave Apt 2N
Old Greenwich, CT 06870-1614
City
Old Greenwich
State
CT
Zip
06870-1614
Phone Number
203-940-3595

License Information

License Number (2)
003916
License State (2)
CT
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Amanda G Whitacre, PHD?

The NPI number of Dr. Amanda G Whitacre, PHD is 1770925018. It was assigned on July 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Amanda G Whitacre, PHD?

Dr. Amanda G Whitacre, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 003916.

Where does Dr. Amanda G Whitacre, PHD practice?

The practice location is 1200 High Ridge RD, Stamford, CT 06905-1223. The office can be reached at 203-580-3595 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770925018 directly on the NPPES registry website.

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