Active NPI
Randy Lee Ervin, PSYD
- Psychologist
- York, NE
National Provider Identifier
1972228559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 708
- Practice address
- 223 E 8TH St
York, NE 68467-3040 - Phone
- (402) 710-0564
- Fax
- (833) 382-0104
- NPI assigned
- Oct 6, 2022
- Last updated
- Oct 13, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 708 | NE | Primary |
Addresses
Primary practice location
223 E 8TH St
York, NE 68467-3040
Mailing address
223 E 8TH St
York, NE 68467-3040
Phone (402) 710-0564
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.redcouchcounseling.org |
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 |
|---|---|---|---|
| 708 | NE | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randy L Ervin LLC | Current | Accepting new patients | |
| Randy L Ervin LLC | Current | Accepting new patients | |
| Winfield Rest Haven Inc | Current | Accepting new patients |
Organizations & group practices 3
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.
-
dba Starwood Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- York, NE
- NPI 1437973187
-
dba Winfield Rest Haven II, LC
- Skilled Nursing Facility
- Winfield, KS
- NPI 1982699062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1972228559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 E 8TH ST",
"city": "YORK",
"state": "NE",
"postal_code": "684673040",
"telephone_number": "402-710-0564",
"fax_number": "833-382-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 E 8TH ST",
"city": "YORK",
"state": "NE",
"postal_code": "684673040",
"telephone_number": "402-710-0564",
"fax_number": "833-382-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERVIN",
"first_name": "RANDY",
"middle_name": "LEE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "708",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.redcouchcounseling.org",
"affiliation": "N",
"address_1": "223 E 8th St",
"city": "York",
"state": "NE",
"country_code": "US",
"postal_code": "684673040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in York, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.