Organization Active NPI

Mindset Counseling Performance Psychology, PLLC

  • Psychologist
  • Amherst, NY
National Provider Identifier
1144100306
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MINDSET COUNSELING PERFORMANCE PSYCHOLOGY, PLLC
Practice address
4140 Sheridan Dr Ste 7
Amherst, NY 14221-4341
Phone
(850) 264-2011
NPI assigned
Sep 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Authorized official

Name
Dr. Amanda Elise Edwards, PH.D.NPI 1598243602
Title
Member
Phone
(850) 264-2011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

4140 Sheridan Dr Ste 7
Amherst, NY 14221-4341

Mailing address

4140 Sheridan Dr Ste 7
Amherst, NY 14221-4341
Phone (850) 264-2011

National Provider Directory

National Provider Directory

Locations

4140 Sheridan Dr
Ste 7
Buffalo, NY 14221
Phone (716) 322-9659

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757116800000",
    "number": "1144100306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 SHERIDAN DR STE 7",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142214341",
            "telephone_number": "850-264-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 SHERIDAN DR STE 7",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142214341",
            "telephone_number": "850-264-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET COUNSELING PERFORMANCE PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "850-264-2011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.