Healthcare Provider Details

I. General information

NPI: 1801751474
Provider Name (Legal Business Name): DR. AMY WINTERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 STATE ROUTE 35 STE 114A
SEA GIRT NJ
08750
US

IV. Provider business mailing address

1933 STATE ROUTE 35 STE 280
WALL TOWNSHIP NJ
07719-3502
US

V. Phone/Fax

Practice location:
  • Phone: 732-492-2295
  • Fax:
Mailing address:
  • Phone: 732-492-2295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number35SI00798900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: