AMANDA DOUGHERTY PSY.D.
NPI 1841255684
Psychologist - Clinical in Jefferson City, MO

Q: What is Amanda Dougherty's NPI number?

The NPI number for Amanda Dougherty is 1841255684. It was assigned to this individual provider in the NPPES registry on April 17, 2006. The provider is also known as Amanda Nelson Psy.D..

Q: What is Amanda Dougherty's specialty?

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

Q: Is Amanda Dougherty enrolled in Medicare?

No. Amanda Dougherty has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amanda Dougherty was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 17, 2006Opted out of Medicare · through Apr 1, 2028

3401 W TRUMAN BLVD STE 100, JEFFERSON CITY, MO 65109(573) 644-7909(573) 644-7908 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2023, Nov 26, 2019 (2 updates tracked since 2019).

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About Amanda Dougherty Psy.d. NPPES

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

AMANDA DOUGHERTY PSY.D. (NPI 1841255684) is an individual clinical provider in Jefferson City, Missouri, licensed in Florida (PY9351) and active in the NPI registry since April 2006. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1841255684

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameAMANDA DOUGHERTYCredential: PSY.D.

Location Address3401 W TRUMAN BLVD STE 100Jefferson City, MO 65109-5752

Mailing Address1041 John Sims Pkwy ENiceville, FL 32578-2712 · (850) 389-8489 · Fax (844) 377-9201

Phone(573) 644-7909

Fax(573) 644-7908

Sole ProprietorNo

Enumeration DateApril 17, 2006

Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1841255684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in FL · PY9351✔ Licensed in MO · 2006031373

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.

3401 W TRUMAN BLVD STE 100, Jefferson City, MO 65109

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Other Names 1

Former Name (1)Amanda Nelson Psy.d.

Other Identifiers 1

Medicaid497336206MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Dougherty Psy.d. 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Dougherty's NPI number?

The NPI number for Amanda Dougherty is 1841255684. It was assigned to this individual provider in the NPPES registry on April 17, 2006. The provider is also known as Amanda Nelson Psy.D..

Where is Amanda Dougherty located?

Amanda Dougherty practices at 3401 W Truman Blvd Ste 100, Jefferson City, MO 65109. The listed phone number is (573) 644-7909.

What is Amanda Dougherty's specialty?

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

Is Amanda Dougherty enrolled in Medicare?

No. Amanda Dougherty has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Amanda Dougherty accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Amanda Dougherty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Dougherty was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.