Active NPI
Pamela Ann Myers, LCSW
- Clinical Social Worker
- Lancaster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R041693-1
- Practice address
- 5580 Broadway St Ste 4
Lancaster, NY 14086-2380 - Phone
- (716) 479-8590
- Fax
- (888) 972-8216
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R041693-1 | NY | |
| Clinical Social Worker | 1041C0700X | R041693-1 | NY | Primary |
Addresses
Primary practice location
5580 Broadway St Ste 4
Lancaster, NY 14086-2380
Mailing address
5580 Broadway St Ste 4
Lancaster, NY 14086-2380
Phone (716) 479-8590
Other practice location 1
4955 N Bailey Ave Ste 130
Amherst, NY 14226-1206
Phone (716) 835-1246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-4857
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R041693-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Psychiatric Practice, Inc | Single Specialty | Current | Accepting new patients |
| Howard C. Wilinsky, M.D., P.C. | Single Specialty | Past | Accepting new patients |
Locations
462 Grider St
Rm 1168
Buffalo, NY 14215
Phone (716) 898-4857
4955 N Bailey Ave
Ste 130
Buffalo, NY 14226
Phone (716) 633-1240
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Buffalo, NY
- NPI 1588743702
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1013056829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5580 BROADWAY ST STE 4",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140862380",
"telephone_number": "716-479-8590",
"fax_number": "888-972-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5580 BROADWAY ST STE 4",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140862380",
"telephone_number": "716-479-8590",
"fax_number": "888-972-8216"
}
],
"practiceLocations": [
{
"address_1": "4955 N Bailey Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "NY",
"postal_code": "142261206",
"country_code": "US",
"telephone_number": "716-835-1246",
"fax_number": "716-835-0396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "PAMELA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "R041693-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R041693-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.