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DR. AMANDA M WALTERS PSY.D.
NPI 1114296803
Psychologist - Clinical in San Jose, CA

Active since December 24, 2011Opted out of Medicare · through Sep 19, 2027
1101 S WINCHESTER BLVD STE P297, SAN JOSE, CA 95128(408) 357-0769 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amanda M Walters Psy.d. NPPES

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

DR. AMANDA M WALTERS PSY.D. (NPI 1114296803) is an individual clinical provider in San Jose, California, licensed in California (PSY29109) and active in the NPI registry since December 2011. She has opted out of Medicare through September 19, 2027.

NPPES Registry Identity

NPI1114296803
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AMANDA M WALTERSCredential: PSY.D.
Location Address1101 S WINCHESTER BLVD STE P297San Jose, CA 95128
Mailing Address1101 S Winchester Blvd Ste P297San Jose, CA 95128-3904 · (408) 357-0769
Phone(408) 357-0769
Sole ProprietorYes
Enumeration DateDecember 24, 2011
Last NPPES UpdateDecember 12, 2018
✔ NPI 1114296803 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 · PSY29109
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.
1101 S WINCHESTER BLVD STE P297, San Jose, CA 95128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Amanda M Walters Psy.d. 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 September 19, 2023 through September 19, 2027.

Opt-Out Effective DateSeptember 19, 2023
Opt-Out In Effect ThroughSeptember 19, 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 95128 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
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AKANKSHA SRIVASTAV PHD
Psychologist
1101 S WINCHESTER BLVD STE P297
SAN JOSE, CA 95128
Santa Clara County (669) 282-7234
MS. ESTRELLA A RAMIREZ PH.D.
Psychologist (Counseling)
1101 S WINCHESTER BLVD STE P297
SAN JOSE, CA 95128
Santa Clara County (650) 822-8294

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 Walters's NPI number?

The NPI number for Amanda Walters is 1114296803. It was assigned to this individual provider in the NPPES registry on December 24, 2011.

Where is Amanda Walters located?

Amanda Walters practices at 1101 S Winchester Blvd Ste P297, San Jose, CA 95128. The listed phone number is (408) 357-0769.

What is Amanda Walters's specialty?

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

Is Amanda Walters enrolled in Medicare?

No. Amanda Walters has opted out of Medicare through September 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Walters was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.