MEDICARE: AMANDA S PELCHER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	000938	NY
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1346541208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA S PELCHER LMFT

Provider Business Mailing Address
First Line	:	447 BROADWAY, 2ND FLOOR, PMB 1252
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-2562
Country	:	US
Telephone Number	:	212-287-5086
Fax Number	:

Provider Business Practice Location Address
First Line	:	923 SAW MILL RIVER RD STE 244
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1106
Country	:	US
Telephone Number	:	212-287-5086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2010
Last Update Date	:	06/05/2026

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