Amanda Lane, PSYD
NPI 1336508274ActiveIndividual· Psychologist· Moorhead, MN
Psychologist (PSYD) with Sanford Medical Center Fargo, practicing in Moorhead, Minnesota. Medicare paid $11,906 for services to 33 patients in 2024. Lists Sanford Medical Center Fargo as a hospital affiliation.
Overview
| NPI | 1336508274 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Feb 21, 2016 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP5983 | MN |
| Psychologist | 103T00000X | 541 | ND |
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 (MN); Practitioner - Clinical Psychologist (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 273 across 5 procedure codes |
| Paid by Medicare | $11,906 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
Hospital affiliation
- Sanford Medical Center FargoFargo, ND
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All 17 psychologists in Moorhead · All psychologists in Minnesota