Individual provider Active NPI

Amy Andrukonis Nylund

  • Social Worker
  • Latham, NY
National Provider Identifier
1366010688
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
15 Cornell Rd Ste 2
Latham, NY 12110-1490
Phone
(607) 260-3100
Fax
(607) 241-9972
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

15 Cornell Rd Ste 2
Latham, NY 12110-1490

Mailing address

15 Cornell Rd Ste 2
Latham, NY 12110-1490
Phone (607) 260-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Nylund Psychotherapy, LLC Current Accepting new patients
Mindwell Psychological Assessment, LLP CurrentSince Feb 2, 2025 Accepting new patients
Mindwell Psychology, LLP PastSince Aug 30, 2020 Accepting new patients
Wise Mind Solutions, LLC PastSince Jun 1, 2021 Accepting new patients

Locations

15 Cornell Rd
Ste 2
Latham, NY 12110
Phone (518) 510-3100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1366010688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORNELL RD STE 2",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101490",
            "telephone_number": "607-260-3100",
            "fax_number": "607-241-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORNELL RD STE 2",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101490",
            "telephone_number": "607-260-3100",
            "fax_number": "607-241-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYLUND",
        "first_name": "AMY",
        "middle_name": "ANDRUKONIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.