Amanda Katherine Broyles, PHD
NPI 1790454569ActiveIndividual· Psychologist, Counseling· Bay Pines, FL
Psychologist, Counseling (PHD) with The Emory Clinic Inc and 1 other group, practicing in Bay Pines, Florida. Enrolled in Medicare as practitioner - mental health counselor and practitioner - clinical psychologist.
Overview
| NPI | 1790454569 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Sep 7, 2021 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Sep 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | — | — |
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 - Mental Health Counselor (GA); Practitioner - Clinical Psychologist (TX) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical groups
- The Emory Clinic IncAtlanta, GA · 3,568 clinicians
- Vitality Clinical Services PLLCFort Worth, TX · 3 clinicians
Other Psychologist, Counseling providers in Bay Pines
- 1629688437