DR. AMANDA GAIL WHITACRE


Address: 1200 High Ridge Rd, Stamford, CT 06905-1223
Phone: 2035803595

DR. AMANDA GAIL WHITACRE (NPI# 1770925018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770925018
Entity Type Individual
Full Name DR. AMANDA GAIL WHITACRE
Credential PH.D.
Practice Address 1200 High Ridge Rd
Stamford
CT 06905-1223
Mailing Address 264 Sound Beach Ave Apt 2n
Old Greenwich
CT 06870-1614
Practice Telephone 2035803595
Mailing Telephone 2039403595
Enumeration Date 2013-07-29
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
003916 CT Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
34 W 139th St, New York, NY 100371508 2126907234

Other Providers AMANDA WHITACRE

NPI Name Taxonomy Address Enumeration
1215309133 Amanda Michelle Whitacre Counselor 1509 16th St Nw, Washington, DC 20036-1461 2015-10-30

Office Location

Street Address 1200 HIGH RIDGE RD
City STAMFORD
State CT
Zip Code 06905-1223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922113588 Scott R Bender Chiropractor 1200 High Ridge Rd, Stamford, CT 06905-1223 2006-08-21
1326645979 Marsha A. Techeira, Lmft, LLC Marriage & Family Therapist 1200 High Ridge Rd, Stamford, CT 06905-1223 2020-10-07
1619507894 Caitlin Elizabeth Nesi Occupational Therapist 1200 High Ridge Rd, Stamford, CT 06905-1223 2020-01-16
1144869884 Kelly Copeland Psychologist 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-12-28
1427695220 Anna Diamantis, Lpc, Pllc Clinic/Center 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-11-30
1205472925 Hrkservices Pllc Social Worker 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-11-19
1346883386 Shannon Renzulli Counselor 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-10-22
1821640327 Sindhu Ashok Nurse Practitioner 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-07-15
1508422940 Sian S James Acupuncturist 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-05-10
1619432408 Rachel H Leslie Marriage & Family Therapist 1200 High Ridge Rd, Stamford, CT 06905-1223 2019-02-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396367272 Smartport LLC Non-emergency Medical Transport (VAN) C/o Mollo, 1111 Summer St, Stamford, CT 06905 2020-05-13
1245889096 Anna Diamantis Counselor 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 2019-09-04
1871150409 Connecticut Anesthesia Associates LLC Anesthesiology 1177 High Ridge Road, Stamford, CT 06905 2019-05-20
1518447887 Alexandra Petrov Lactation Consultant, Non-RN 42 Riverside Ave, Stamford, CT 06905 2018-08-16
1235640327 A&s Chemists LLC Pharmacy 910 Summer Ave, Stamford, CT 06905 2017-10-17
1659805117 Evolution Physical Therapy, LLC Clinic/Center 7 Reynolds Ave, Stamford, CT 06905 2017-04-11
1326587841 Karen Poggi Speech-Language Pathologist 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 2017-02-16
1811434871 Christina Skuburids, LLC Point of Service 2043 Bedford Street, Stamford, CT 06905 2017-01-27
1669833513 Christian Alvarez Occupational Therapist 15 First St Unit 1, Stamford, CT 06905 2016-03-18
1932500915 Emily Krol Psychologist 29 Yale Court, Stamford, CT 06905 2014-09-10
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285186668 Dariush Fathi Psychologist 141 Franklin Street, Stamford, CT 06902-5113 2016-11-01
1932500915 Emily Krol Psychologist 29 Yale Court, Stamford, CT 06905 2014-09-10
1720357528 Herbert Steven Cohen Psychologist 106 Gun Club Rd, Stamford, CT 06903-1024 2011-12-22
1528392636 Robin Wachs Psychologist 1177 High Road, Suite 206, Stamford, CT 06905-1221 2009-09-22
1801037049 Melissa Chang Phd LLC Psychologist 59 Roxbury Rd, Stamford, CT 06902-1283 2009-03-18
1245449735 Nancy L. Bronson Psychologist 76 Haviland Ct, Stamford, CT 06903-3331 2007-05-21
1700937133 Jeffrey A Goldman Psychologist 32-34 Main St, Stamford, NY 12167-1145 2007-01-14
1013073147 Ellen Raynes Berman Psychologist 123 Macgregor Dr, Stamford, CT 06902-1409 2007-01-01
1316016611 Leo Paul Donovan Jr. Psychologist 239 Hamilton Ave Apt 8, Stamford, CT 06902-3480 2006-11-08
1417040908 John Reed Brundage Psychologist 144 Morgan Street, Suite 7, Stamford, CT 06905 2006-10-02
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Competitor

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City STAMFORD
Zip Code 06905

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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