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MRS. AMY EGOLF MD
NPI 1619234341
Psychiatry & Neurology - Child & Adolescent Psychiatry in Riverside, RI

Active since April 19, 2012PECOS EnrolledAccepts Medicare Assignment
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915(401) 432-1000(401) 432-1500 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2018, Jul 11, 2016 (2 updates tracked since 2016).

About Mrs. Amy Egolf Md NPPES

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

MRS. AMY EGOLF MD (NPI 1619234341) is an individual child & adolescent psychiatry provider in Riverside, Rhode Island, licensed in Rhode Island (MD15497) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619234341
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameMRS. AMY EGOLFCredential: MD
Location Address1011 VETERANS MEMORIAL PKWYRiverside, RI 02915
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4513 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 432-1000
Fax(401) 432-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 19, 2012
Last NPPES UpdateJune 12, 20182 updates tracked since enumeration
✔ NPI 1619234341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in RI · MD15497
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1011 VETERANS MEMORIAL PKWY, Riverside, RI 02915
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Other Names 1

Former Name (1)Ms. Amelia Nebenhaus

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amy Egolf Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779878012
PECOS Enrollment IDI20180625003011
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.

Other Providers at the Same Location NPPES 20

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

JUSTYNA PIASECKA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
DR. VAMSI C TUMMALACHETTY PSYD
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
MOLLIE BURNS LCSW
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
MARIA S REGAN MSW
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02915
Providence County (401) 432-1160
DR. ORNELLA JUDITH POTTER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
DR. ANDREA LILLIAN GOLD PH.D.
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
TANUJA P GANDHI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
ANDREA REBECCA NEAL-BEEVERS PHD
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000

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 Amy Egolf's NPI number?

The NPI number for Amy Egolf is 1619234341. It was assigned to this individual provider in the NPPES registry on April 19, 2012. The provider is also known as Ms. Amelia Nebenhaus.

Where is Amy Egolf located?

Amy Egolf practices at 1011 Veterans Memorial Pkwy, Riverside, RI 02915. The listed phone number is (401) 432-1000.

What is Amy Egolf's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Amy Egolf enrolled in Medicare?

Yes. Amy Egolf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amy Egolf was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.