Individual provider Active NPI

Emily Ann Davison, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1861127565
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404251 Issued in NY
Practice address
85 Bryant Woods S
Amherst, NY 14228-3604
Phone
(716) 689-3333
NPI assigned
Jul 18, 2022
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404251 NY Primary

Addresses

Primary practice location

85 Bryant Woods S
Amherst, NY 14228-3604

Mailing address

85 Bryant Woods S
Amherst, NY 14228-3604
Phone (716) 689-3333

Other names 1

  • Emily Ann Stelmach Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914001787 NY Practitioner - Nurse Practitioner 2365827128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban Psychiatric Associates, LLPGroup PAC ID 6709774318, 35 clinicians

Practice addresses (Care Compare)

85 Bryant Woods S
Amherst, NY 14228-3604
Phone (716) 689-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
404251NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Psychiatric Associates, LLP Single Specialty CurrentSince Sep 1, 2022 Accepting new patients

Locations

85 Bryant Woods S
Buffalo, NY 14228
Phone (716) 689-3333

Interoperability endpoints

  • Direct secure messaging: edavison@spa.medentdirect.com

Organizations & group practices 1

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1861127565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BRYANT WOODS S",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283604",
            "telephone_number": "716-689-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BRYANT WOODS S",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142283604",
            "telephone_number": "716-689-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "STELMACH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.