Amanda M. Distasio, PH.D.
NPI 1902113590ActiveIndividual· Psychologist, Counseling· Amherst, MA
Psychologist, Counseling (PH.D.) in Amherst, Massachusetts, licensed in NY and MA, with an NPI issued in September 2010.
Overview
| NPI | 1902113590 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Sep 3, 2010 |
| Last updated in NPPES | May 3, 2023 |
| Certified by provider | Apr 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 021930 | NY |
| Psychologist, Counseling | 103TC1900X | 11228 | MA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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