Active NPI
Amy Lynn Button-Ervin, PSYD
- Psychologist
- Wellsville, NY
National Provider Identifier
1457042582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 025704-01
- Practice address
- 118 N Main St
Wellsville, NY 14895-1251 - Phone
- (315) 694-0016
- NPI assigned
- May 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 025704-01 | NY | Primary |
Addresses
Primary practice location
118 N Main St
Wellsville, NY 14895-1251
Mailing address
21 William St
Hornell, NY 14843-1420
Phone (315) 694-0016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025704-01 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1457042582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WILLIAM ST",
"city": "HORNELL",
"state": "NY",
"postal_code": "148431420",
"telephone_number": "315-694-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N MAIN ST",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "148951251",
"telephone_number": "315-694-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTON-ERVIN",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "025704-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.