Amanda Myers Campos, PSYD
NPI 1104170240ActiveIndividual· Psychologist, Clinical· Hoover, AL
Psychologist, Clinical (PSYD) in Hoover, Alabama, licensed in AL, with an NPI issued in October 2012. Enrolled in Medicare as practitioner - psychologist billing independently.
Overview
| NPI | 1104170240 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Oct 26, 2012 |
| Last updated in NPPES | Jul 9, 2021 |
| Certified by provider | Jul 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 1996 | AL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychologist Billing Independently (AL) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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