Active NPI
Drew Carlson Messer, J.D. PH.D.
- Clinical Child & Adolescent Psychologist
- Williamsville, NY
National Provider Identifier
1972574473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 016499
- Practice address
- 8616 Main Street Ste 4
Williamsville, NY 14221 - Phone
- (716) 961-9435
- Fax
- (716) 961-9436
- NPI assigned
- Feb 1, 2006
- Last updated
- Apr 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 048-0000679 | VT | |
| Clinical Psychologist | 103TC0700X | 071-005496 | IL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 016499 | NY | Primary |
| Forensic Psychologist | 103TF0200X | 048-0000679 | VT |
Addresses
Primary practice location
8616 Main Street Ste 4
Williamsville, NY 14221
Mailing address
8616 Main Street Ste. 4
Williamsville, NY 14221
Phone (716) 961-9435
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210127002608 | NY | Order and Referring Only - Clinical Psychologist | 4183723711 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048-0000679 | VT | MD | Addiction (Substance Use Disorder) Psychologist |
| 071-005496 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Messer Psychological Services, PC | Past | Accepting new patients | |
| SG Chiropractic Health Care, PC | Past | 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.
-
- Clinical Child & Adolescent Psychologist
- Williamsville, NY
- NPI 1073875605
-
- Psychologist
- Williamsville, NY
- NPI 1053870279
-
- Chiropractor
- Elma, NY
- NPI 1780030809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1972574473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 MAIN STREET STE. 4",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-961-9435",
"fax_number": "716-961-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8616 MAIN STREET STE 4",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-961-9435",
"fax_number": "716-961-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSER",
"first_name": "DREW",
"middle_name": "CARLSON",
"name_prefix": "Dr.",
"credential": "J.D. PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "VT",
"license": "048-0000679",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-005496",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "016499",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "VT",
"license": "048-0000679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.