Amanda Kopp, Psyd, PLLC
NPI 1356184626ActiveOrganization· Psychologist, Clinical· Livonia, MI
Psychologist, Clinical in Livonia, Michigan, registered in NPPES in June 2024. The authorized official on file is Amanda Kopp, PSYD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356184626 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2024 |
| Last updated in NPPES | Mar 6, 2025 |
| Certified by provider | Mar 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Psychologist, Counseling | 103TC1900X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
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 Part B Supplier - Clinic/Group Practice (MI) |
|---|
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