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AMANDA COURVOISIER PSYD
NPI 1053651919
Psychologist - Clinical in La Mirada,, CA

Active since February 28, 2013Opted out of Medicare · through Nov 13, 2027
12625 LA MIRADA BLVD., SUITE 202, LA MIRADA,, CA 90638(562) 903-4800 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amanda Courvoisier Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA COURVOISIER PSYD (NPI 1053651919) is an individual clinical provider in La Mirada,, California, licensed in California (PSY21207) and active in the NPI registry since February 2013. She has opted out of Medicare through November 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053651919
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAMANDA COURVOISIERCredential: PSYD
Location Address12625 LA MIRADA BLVD., SUITE 202La Mirada,, CA 90638-2211
Mailing Address12625 La Mirada Blvd., Suite 202La Mirada,, CA 90638-2211 · (562) 903-4800
Phone(562) 903-4800
Sole ProprietorNo
Enumeration DateFebruary 28, 2013
✔ NPI 1053651919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY21207
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
12625 LA MIRADA BLVD., La Mirada,, CA 90638
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Other Identifiers 1

OtherPSY21207CA · Psychology License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Courvoisier Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 13, 2019 through November 13, 2027.

Opt-Out Effective DateNovember 13, 2019
Opt-Out In Effect ThroughNovember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Courvoisier's NPI number?

The NPI number for Amanda Courvoisier is 1053651919. It was assigned to this individual provider in the NPPES registry on February 28, 2013.

Where is Amanda Courvoisier located?

Amanda Courvoisier practices at 12625 La Mirada Blvd. Suite 202, La Mirada,, CA 90638. The listed phone number is (562) 903-4800.

What is Amanda Courvoisier's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Amanda Courvoisier enrolled in Medicare?

No. Amanda Courvoisier has opted out of Medicare through November 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amanda Courvoisier was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.