Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083212005 Individual Practitioner Female Practitioner

Dr. Amanda Michele Pack , PhD

Psychologist - Clinical • Olympia Fields, IL

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Pack, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Olympia Fields, IL. Practice services are available at 20280 GOVERNORS HWY STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20280 Governors Hwy Ste 105

Olympia Fields, IL 604611068

Telephone 3122483481
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Olympia Fields, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Olympia Fields, IL (4140 Statewide)

Telehealth Adoption Rate
40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-22
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 071010371

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Victoria Mims , LCPC

Counselor - Professional

NPI 1144991860

Licensed Clinical Professional Counselor

Quanquisha Dudley

Counselor - Professional

NPI 1366269086
Daizha Hunter

Counselor - Professional

NPI 1417801838
Lakeisha Robinson , LPC

Counselor - Professional

NPI 1699488338

Licensed Professional Counselor

Robina Wright-Alexander

Counselor - Mental Health

NPI 1982436200

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated August 22, 2025

Recorded as AMANDA PACK, PH.D.

NPI Profile Active October 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2020

Registered at 20280 GOVERNORS HWY STE 105, OLYMPIA FIELDS, IL 604611068 (Tel: 3122483481)

📍
Updated Business Mailing Address October 12, 2020

Registered at 22939 MILLARD AVE, RICHTON PARK, IL 604712534 (Tel: 7087248044)

👤
Provider Name / Credentials Updated October 12, 2020

Recorded as AMANDA LONG, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2020

Psychologist (License #071010371 in IL)

🟢
Initial NPI Registration & Enumeration October 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Amanda Pack. Be the first to share your experience!

Sign in to leave a review for Dr. Amanda Pack

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083212005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2020
Last Update: August 22, 2025
Sole Proprietor: Yes

Mailing Address

22939 Millard Ave

Richton Park, IL 604712534

Phone: 7087248044

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.