DR. AMANDA L WILLIS PSY.D
NPI 1750906467
Psychologist - Clinical in Columbia, SC

Q: What is Amanda Willis's NPI number?

The NPI number for Amanda Willis is 1750906467. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Q: What is Amanda Willis'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 Willis was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 09, 2020

6439 GARNERS FERRY RD BLDG 106, COLUMBIA, SC 29209(803) 776-4000 Get Directions Write a Review

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

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About Dr. Amanda L Willis Psy.d NPPES

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

DR. AMANDA L WILLIS PSY.D (NPI 1750906467) is an individual clinical provider in Columbia, South Carolina, licensed in Indiana (20043362B) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1750906467

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AMANDA L WILLISCredential: PSY.D

Location Address6439 GARNERS FERRY RD BLDG 106Columbia, SC 29209-1638

Mailing Address6439 Garners Ferry Rd Bldg 106Columbia, SC 29209-1638 · (803) 776-4000

Phone(803) 776-4000

Sole ProprietorNo

Enumeration DateJune 9, 2020

NPPES CertifiedJune 9, 2020

✔ NPI 1750906467 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 IN · 20043362B

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.

6439 GARNERS FERRY RD BLDG 106, Columbia, SC 29209

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Other Identifiers 1

Other0N/a

Other Providers at the Same Location NPPES

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

DR. JENNIFER NICOLE MERRIFIELD PHD

Psychologist

6439 GARNERS FERRY RD BLDG 106
COLUMBIA, SC 29209

Richland County (803) 776-4000

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 Willis's NPI number?

The NPI number for Amanda Willis is 1750906467. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Amanda Willis located?

Amanda Willis practices at 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209. The listed phone number is (803) 776-4000.

What is Amanda Willis's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Willis was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.