Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Marie Ridgeley

Individual provider Clinical Psychologist · NPI 1619480712

Amanda Marie Ridgeley is a Clinical Psychologist in Winston Salem, North Carolina. Licensed in Michigan and Ohio. Registered with an NPI since 2017.

Licensed in
MI, OH
In the registry since
2017
Specialties on file
5

Practice location Address checks out

720 Coliseum Dr Ste 92
Winston Salem, NC 27106-5357
Phone: (743) 255-4568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Clinical Psychologist Taxonomy 103TC0700X · Licence 6362007710 (MI)
Case Manager/Care Coordinator Taxonomy 171M00000X (OH)
Community Health Worker Taxonomy 172V00000X (OH)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6301017265 (MI)

Record details

NPI number1619480712
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2017
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

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