Provider Demographics
NPI:1609272020
Name:RHODES, AMYNDA (PSY D)
Entity Type:Individual
Prefix:
First Name:AMYNDA
Middle Name:
Last Name:RHODES
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6264 S SUNBURY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2972
Mailing Address - Country:US
Mailing Address - Phone:740-877-3440
Mailing Address - Fax:
Practice Address - Street 1:6264 S SUNBURY RD STE 400
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2972
Practice Address - Country:US
Practice Address - Phone:740-877-3440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6873103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)