Provider Demographics
NPI:1114926029
Name:COREY, AMY T (PHD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:T
Last Name:COREY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:440 REGENCY PARKWAY DR
Mailing Address - Street 2:STE 230
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3742
Mailing Address - Country:US
Mailing Address - Phone:402-769-2121
Mailing Address - Fax:402-991-2500
Practice Address - Street 1:440 REGENCY PARKWAY DR
Practice Address - Street 2:STE 230
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3742
Practice Address - Country:US
Practice Address - Phone:402-493-4444
Practice Address - Fax:402-493-1550
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE587103T00000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025000500Medicaid
NE08207OtherBLUE CROSS BLUE SHIELD
NE553995000OtherMAGELLAN BEHAVIORAL HEALT
NE81-0622454OtherAPS HEALTHCARE