DR. AMANDA BERNICE EYGES SPENCER PSY.D.
NPI 1164805784
Psychologist - Clinical in Petaluma, CA

Q: What is Amanda Spencer's NPI number?

The NPI number for Amanda Spencer is 1164805784. It was assigned to this individual provider in the NPPES registry on July 1, 2015. The provider is also known as Ms. Amanda Bernice Eyges M.A..

Q: What is Amanda Spencer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Spencer was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 01, 2015PECOS Enrolled

1900 S MCDOWELL BLVD, PETALUMA, CA 94954(707) 699-6100 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2022, Jun 12, 2020, Aug 8, 2016 (3 updates tracked since 2016).

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About Dr. Amanda Bernice Eyges Spencer Psy.d. NPPES

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

DR. AMANDA BERNICE EYGES SPENCER PSY.D. (NPI 1164805784) is an individual clinical provider in Petaluma, California, licensed in California (PSB94025397) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164805784

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AMANDA BERNICE EYGES SPENCERCredential: PSY.D.

Location Address1900 S MCDOWELL BLVDPetaluma, CA 94954-5473

Mailing Address1900 S Mcdowell BlvdPetaluma, CA 94954-5473 · (707) 699-6100

Phone(707) 699-6100

Sole ProprietorNo

Enumeration DateJuly 1, 2015

Last NPPES UpdateJanuary 26, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2022

✔ NPI 1164805784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSB94025397

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1900 S MCDOWELL BLVD, Petaluma, CA 94954

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Other Names 1

Former Name (1)Ms. Amanda Bernice Eyges M.a.

Other Identifiers 1

Medicaid8121CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Bernice Eyges Spencer Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Spencer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

20 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 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

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 5

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

MARIO MANGIARDI MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)