MRS. AMANDA KATHERINE VAN EMBURGH PSYD
NPI 1831205400
Psychologist - Clinical in Winston Salem, NC
About Mrs. Amanda Katherine Van Emburgh Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMANDA KATHERINE VAN EMBURGH PSYD (NPI 1831205400) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (3620) and active in the NPI registry since August 2006. She has opted out of Medicare through July 1, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Amanda Katherine Van Emburgh Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WINSTON SALEM, NC 27101
WINSTON SALEM, NC 27101
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 Van Emburgh's NPI number?
The NPI number for Amanda Van Emburgh is 1831205400. It was assigned to this individual provider in the NPPES registry on August 23, 2006.
Where is Amanda Van Emburgh located?
Amanda Van Emburgh practices at 725 Highland Ave, Winston Salem, NC 27101. The listed phone number is (336) 607-8523.
What is Amanda Van Emburgh's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Amanda Van Emburgh enrolled in Medicare?
No. Amanda Van Emburgh has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Amanda Van Emburgh was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mrs. Amanda Katherine Van Emburgh, PSYD · NPI 1831205400
Clinical provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since August 23, 2006.
## Identity
- **NPI:** 1831205400 (Entity type: Individual)
- **Enumerated:** August 23, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 3620 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 HIGHLAND AVE, Winston Salem, NC 27101-4206
- **Phone:** (336) 607-8523
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** October 2, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1831205400) · Data from the CMS NPPES public registry.