AMANDA CAROLINE GURGANUS M.A.
NPI 1770711806
Psychologist - Clinical in Jacksonville, NC

Q: What is Amanda Gurganus's NPI number?

The NPI number for Amanda Gurganus is 1770711806. It was assigned to this individual provider in the NPPES registry on June 26, 2009. The provider is also known as Amanda Gurganus Rutherford M.A..

Q: What is Amanda Gurganus'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 Gurganus was last updated on May 14, 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 26, 2009

1703 COUNTRY CLUB RD STE 204, JACKSONVILLE, NC 28546(910) 347-3010(910) 347-6137 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Amanda Caroline Gurganus M.a. NPPES

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

AMANDA CAROLINE GURGANUS M.A. (NPI 1770711806) is an individual clinical provider in Jacksonville, North Carolina, licensed in North Carolina (200600453) and active in the NPI registry since June 2009. She maintains a secondary practice location in Manhattan Beach.

NPPES Registry Identity

NPI1770711806

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameAMANDA CAROLINE GURGANUSCredential: M.A.

Location Address1703 COUNTRY CLUB RD STE 204Jacksonville, NC 28546-6006

Mailing Address117 38th PlManhattan Beach, CA 90266-3105 · (310) 749-2684

Phone(910) 347-3010

Fax(910) 347-6137

Sole ProprietorYes

Enumeration DateJune 26, 2009

Last NPPES UpdateMay 14, 2020

NPPES CertifiedMay 14, 2020

✔ NPI 1770711806 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 NC · 200600453

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

1703 COUNTRY CLUB RD STE 204, Jacksonville, NC 28546

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Other Names 1

Other Name (5)Amanda Gurganus Rutherford M.a.

Secondary Practice Location 1

Location 1117 38th PlManhattan Beach, CA 90266-3105 · Phone (310) 749-2684

Other Providers at the Same Location NPPES 11

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

MRS. ELIZABETH A WESTER LPC

Counselor (Professional)