DR. AMANDA MARIE LARGE PSYD
NPI 1730798067
Psychologist in Philadelphia, PA

Active since July 22, 2020PECOS EnrolledAccepts Medicare Assignment
1516 N 5TH ST UNIT 401, PHILADELPHIA, PA 19122(267) 861-3685 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2020, Aug 28, 2020, Jul 28, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Amanda Marie Large Psyd NPPES

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

DR. AMANDA MARIE LARGE PSYD (NPI 1730798067) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS019057) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1730798067
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMANDA MARIE LARGECredential: PSYD
Location Address1516 N 5TH ST UNIT 401Philadelphia, PA 19122-3679
Mailing Address1516 N 5th St Unit 401Philadelphia, PA 19122-3679 · (267) 861-3685
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2018
Enumeration DateJuly 22, 2020
Last NPPES UpdateSeptember 9, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
NPI 1730798067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS019057
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PS019057 (PA)
1516 N 5TH ST UNIT 401, Philadelphia, PA 19122

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

Dr. Amanda Marie Large Psyd 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 ID547669202
PECOS Enrollment IDI20210528001650
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 6

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

Counselor (Professional)
1516 N 5TH ST UNIT 401
PHILADELPHIA, PA 19122
Social Worker (Clinical)
1516 N 5TH ST UNIT 401
PHILADELPHIA, PA 19122
Counselor (Professional)
1516 N 5TH ST UNIT 401
PHILADELPHIA, PA 19122
Counselor (Professional)
1516 N 5TH ST UNIT 401
PHILADELPHIA, PA 19122
Counselor (Mental Health)
1516 N 5TH ST UNIT 401
PHILADELPHIA, PA 19122
Psychologist (Clinical)
1516 N 5TH ST UNIT 401
PHILADELPHIA, PA 19122

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 Large's NPI number?

The NPI number for Amanda Large is 1730798067. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Amanda Large located?

Amanda Large practices at 1516 N 5th St Unit 401, Philadelphia, PA 19122. The listed phone number is (267) 861-3685.

What is Amanda Large's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amanda Large enrolled in Medicare?

Yes. Amanda Large 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 Amanda Large was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.