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

Amanda Micholychak

Individual provider Art Therapist · NPI 1659096212

Amanda Micholychak is an Art Therapist in Vestal, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

4513 Old Vestal Rd
Vestal, NY 13850-3571
Phone: (607) 323-3067
Show map & directions

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

Specialties & licences

Art Therapist (primary) Taxonomy 221700000X · Licence 00-1491 (NY)

Record details

NPI number1659096212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 6, 2022
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022
Mailing address605 Pollard Hill Rd, Johnson City, NY 13790-4215

Other providers in Vestal