Amanda Christine Nellis, PH.D., LPC
NPI 1265442628ActiveIndividual· Psychologist, Counseling· Phoenix, AZ
Psychologist, Counseling (PH.D., LPC) in Phoenix, Arizona, licensed in AZ, with an NPI issued in August 2006. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1265442628 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., LPC |
| Sole proprietor | Yes |
| NPI issued | Aug 9, 2006 |
| Last updated in NPPES | Jul 13, 2022 |
| Certified by provider | Jul 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 4016 | AZ |
| Counselor, Mental Health | 101YM0800X | LPC-2216 | AZ |
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 - Clinical Psychologist (AZ) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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