Active NPI
Elizabeth Randall, PSYD, LMHC
- Psychologist
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 023579
- Practice address
- 800 Hertel Ave Ste 101
Buffalo, NY 14207-1906 - Phone
- (171) 656-6505
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 023579 | NY | Primary |
| Mental Health Counselor | 101YM0800X | 007768 | NY |
Addresses
Primary practice location
800 Hertel Ave Ste 101
Buffalo, NY 14207-1906
Mailing address
800 Hertel Ave Ste 101
Buffalo, NY 14207-1906
Phone (171) 656-6505
Other practice location 1
800 Hertel Ave Ste 101
Buffalo, NY 14207-1906
Phone (716) 566-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01465451 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Allscripts | Health Information Exchange (HIE) |
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 Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Hertel Ave
Suite 101
Buffalo, NY 14207-1906
Phone (716) 566-5050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007768 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presence Sealy Counseling and Development Licensedclinicalservicespllc | Current | Accepting new patients | |
| People Inc | Current | Accepting new patients | |
| People Inc. | Current | Accepting new patients | |
| Presence Psychology, LMSW, PT, OT and SLP Services, PLLC | Current | Accepting new patients | |
| People Inc | Current | Accepting new patients | |
| Medical Practitioner Services of Wny PC | Current | Accepting new patients |
Locations
800 Hertel Ave
Ste 101
Buffalo, NY 14207
Phone (716) 566-5007
800 Hertel Ave
#101
Buffalo, NY 14207
Phone (716) 566-5007
800 Hertel Ave
Ste 104
Buffalo, NY 14207
115 Fall St
Seneca Falls, NY 13148
Phone (315) 515-5183
1219 N Forest Rd
Williamsville, NY 14221
Phone (716) 634-8152
Interoperability endpoints
- elizabethrandall@peopleinc.medentdirect.com
Organizations & group practices 6
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.
-
- Clinic/Center
- Buffalo, NY
- NPI 1922073774
-
- Developmental Disabilities Clinic/Center
- Buffalo, NY
- NPI 1376129015
-
- Intellectual & Developmental Disabilities Psychologist
- Seneca Falls, NY
- NPI 1538688924
-
- Voluntary or Charitable Agency
- Williamsville, NY
- NPI 1225383136
-
- Clinic/Center
- Buffalo, NY
- NPI 1497351787
-
- Clinical Social Worker
- Seneca Falls, NY
- NPI 1346769734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1235633447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 HERTEL AVE STE 101",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071906",
"telephone_number": "171-656-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HERTEL AVE STE 101",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071906",
"telephone_number": "171-656-6505"
}
],
"practiceLocations": [
{
"address_1": "800 Hertel Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142071906",
"country_code": "US",
"telephone_number": "716-566-5050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDALL",
"first_name": "ELIZABETH",
"credential": "PSYD, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "023579",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007768",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01465451",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Allscripts",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Hertel Ave Ste 101",
"city": "Buffalo",
"state": "NY",
"country_code": "US",
"postal_code": "142071906",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.