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Active NPI 1265442628 Individual Practitioner Female Practitioner

Dr. Amanda Christine Nellis , PhD, LPC

Psychologist - Counseling • Phoenix, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Nellis, PhD, LPC is a certified Psychologist - Counseling practicing in Phoenix, AZ. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Nellis delivers high-quality medical care to the local community at 7301 N 16TH ST STE 102.

Dr. Nellis accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

7301 N 16th St Ste 102

Phoenix, AZ 850205266

Telephone 6027340213
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Counseling in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs Matches City Avg
City Avg: 20.0 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
32 Specialists

Practicing in Phoenix, AZ (136 Statewide)

Telehealth Adoption Rate
9.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nellis (20 Years) 20 Yrs
Phoenix Specialty Average (20.0 Years) 20.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-07-13
Psychologist - Counseling Primary Specialty

NUCC Taxonomy Code: 103TC1900X

State License AZ 4016

A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License AZ LPC-2216

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
579401 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Emily Mcconnell , BSN- RN

Nurse Anesthetist, Certified Registered

NPI 1063235265

BSNRN

Patricia Harm , CRNA

Nurse Anesthetist, Certified Registered

NPI 1184670879

Certified Registered Nurse Anesthetist

Paris Mandy , MA, LAC, MSN, RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205502283

Master of Arts, Licensed Acupuncturist, Master of Science in Nursing, Registered Nurse

Dr. Bryan Reddick , DNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1215744651

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Allison Johnson , LPC

Counselor - Professional

NPI 1235707043

Licensed Professional Counselor

Dana Ehlers , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1255213542

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 13, 2022

Registered at 7301 N 16TH ST STE 102, PHOENIX, AZ 850205266 (Tel: 6027340213)

👤
Provider Name / Credentials Updated July 13, 2022

Recorded as AMANDA NELLIS, PH.D., LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2022

Psychologist (License #4016 in AZ)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11024 N. 28TH DRIVE, #200, PHOENIX, AZ 85029 (Tel: 6027340123)

📍
Updated Business Mailing Address July 08, 2007

Registered at 17080 W SAGUARO LN, SURPRISE, AZ 853881398 (Tel: 6023016670)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as AMANDA NELLIS, M.A., PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #LPC-2216 in AZ)

🟢
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265442628
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: July 13, 2022
Sole Proprietor: Yes

Mailing Address

17080 W Saguaro Ln

Surprise, AZ 853881398

Phone: 6023016670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.