AMANDA HARRYMAN
NPI 1922740109
Psychologist in Meridian, ID

Active since April 08, 2022PECOS Enrolled
2463 E GALA ST, MERIDIAN, ID 83642(208) 955-7333 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2022, Apr 8, 2022 (2 updates tracked since 2022).

About Amanda Harryman NPPES

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

AMANDA HARRYMAN (NPI 1922740109) is an individual psychologist in Meridian, Idaho and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922740109
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAMANDA HARRYMAN
Location Address2463 E GALA STMeridian, ID 83642-5209
Mailing Address5 WestwindLaguna Niguel, CA 92677-9238
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 8, 2022
Last NPPES UpdateApril 29, 20222 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
✔ NPI 1922740109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2463 E GALA ST, Meridian, ID 83642

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Harryman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294294039
PECOS Enrollment IDI20260822000716
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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Harryman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
7700 IRVINE CENTER DR, SUITE 800
Irvine, CA 92618
  • Reassigned Medicare billing, California enrollment
  • 78 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

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

Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Occupational Therapist (Pediatrics)
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Occupational Therapist
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist
2463 E GALA ST
MERIDIAN, ID 83642
Psychologist
2463 E GALA ST
MERIDIAN, ID 83642

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 Harryman's NPI number?

The NPI number for Amanda Harryman is 1922740109. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Amanda Harryman located?

Amanda Harryman practices at 2463 E Gala St, Meridian, ID 83642. The listed phone number is (208) 955-7333.

What is Amanda Harryman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amanda Harryman enrolled in Medicare?

Yes. Amanda Harryman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Harryman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Harryman reassigns Medicare benefits to Orange County Health Psychologists, Inc. (Irvine, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Harryman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Harryman was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.