Individual provider Active NPI

Adrian Ervington, PSYD

  • Psychologist
  • Danville, IL
National Provider Identifier
1033510185
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
071010114 Issued in IL
Practice address
1900 E Main St
Danville, IL 61832-5100
Phone
(217) 554-4188
NPI assigned
Sep 9, 2014
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20043256A IN
Psychologist 103T00000X 071010114 IL Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU

Addresses

Primary practice location

1900 E Main St
Danville, IL 61832-5100

Mailing address

209 E University Ave Apt 306
Champaign, IL 61820-7740
Phone (773) 510-4655

Other practice location 1

201 W Springfield Ave Ste 211
Champaign, IL 61820-4880
Phone (217) 621-6180

Other identifiers 2

IdentifierTypeStateIssuer
20043256AOtherINLICENSED CLINICAL PSYCHOLOGIST
071010114OtherILLICENSED CLINICAL PSYCHOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230106001972 IL Practitioner - Clinical Psychologist 1153791173 Reassigns benefits to 1 organization
I20230418002694 NV Practitioner - Clinical Psychologist 1153791173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Insight Therapy Solutions LLCGroup PAC ID 9638495484, 34 clinicians

Practice addresses (Care Compare)

4760 S Pecos Rd
Suite 103
Las Vegas, NV 89121-5828
Phone (702) 685-0877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
20043256AINMDPsychologist
14350NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Medical Clinicians PA Psychologist CurrentSince Jan 1, 2025 Accepting new patients
Insight Therapy Solutions LLC Psychologist CurrentSince Dec 23, 2022 Accepting new patients
Graceway Psychology Group, LLC PastSince Dec 15, 2019 Accepting new patients

Locations

83 Wooster Hts
Danbury, CT 06810
Phone (203) 433-7855

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

5724 Green St
Brownsburg, IN 46112
Phone (317) 646-1809

2601 Jackson Ave
Ste 1245
Ann Arbor, MI 48103

2320 Paseo del Prado
Ste B208
Las Vegas, NV 89102

2510 E Sunset Rd
Ste 5823
Las Vegas, NV 89120

4760 S Pecos Rd
Las Vegas, NV 89121
Phone (702) 601-2697

4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706

6625 W Sahara Ave
Ste 8
Las Vegas, NV 89146
Phone (725) 230-8526

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1033510185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E UNIVERSITY AVE APT 306",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207740",
            "telephone_number": "773-510-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325100",
            "telephone_number": "217-554-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Springfield Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618204880",
            "country_code": "US",
            "telephone_number": "217-621-6180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVINGTON",
        "first_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043256A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071010114",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PSYCHOLOGIST",
            "identifier": "20043256A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PSYCHOLOGIST",
            "identifier": "071010114",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.