Amanda M Distasio, PHD - Psychologist in Amherst, MA

Amanda M Distasio, PHD is a Psychologist - Counseling based in Amherst, Massachusetts. Amanda M Distasio is licensed to practice in New York (license number 021930) and her current practice location is 111 County Cir, Middlesex Bldg, Amherst, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (413) 545-2337.

NPI number for Amanda M Distasio is 1902113590 and her current mailing address is 111 County Cir, Middlesex Bldg, Amherst, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902113590.

Contact Information

Amanda M Distasio, PHD
111 County Cir, Middlesex Bldg,
Amherst, MA 01003-9255
(413) 545-2337
(413) 545-9602



Healthcare Provider's Profile

Full NameAmanda M Distasio
GenderFemale
SpecialityPsychologist - Counseling
Location111 County Cir, Amherst, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902113590
  • Provider Enumeration Date: 09/03/2010
  • Last Update Date: 05/03/2023

Medical Identifiers

Medical identifiers for Amanda M Distasio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902113590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 11228 (Massachusetts)Secondary
103TC1900XPsychologist - Counseling 021930 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda M Distasio is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda M Distasio, PHD
111 County Cir, Middlesex Bldg,
Amherst, MA 01003-9255

Ph: (413) 545-2337
Amanda M Distasio, PHD
111 County Cir, Middlesex Bldg,
Amherst, MA 01003-9255

Ph: (413) 545-2337

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› Verified 5 days ago


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