AMANDA CAROLINE GURGANUS M.A. - NPI 1770711806 - Psychologist 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.

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 with the weekly NPPES data releases published by CMS.

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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 is enrolled in Medicare PECOS and 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Caroline Gurganus M.a. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.