LAKE SHORE BEHAVIORAL HEALTH


Address: 430 Niagara Street, Transportation, Buffalo, NY 14201
Phone: 7168562587

LAKE SHORE BEHAVIORAL HEALTH (NPI# 1184897258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184897258
Entity Type Organization
Organization Name LAKE SHORE BEHAVIORAL HEALTH
Practice Address 430 Niagara Street
Transportation
Buffalo
NY 14201
Mailing Address 254 Franklin Street
Lake Shore Behavioral Health
Buffalo
NY 14202
Practice Telephone 7168562587
Practice Fax Number 7168562608
Mailing Telephone 7168420440
Mailing Fax Number 7168424069
Enumeration Date 2008-04-09
Last Update Date 2008-04-09
Authorized Official Name DR. HOWARD K HITZEL (PRESIDENT)
Authorized Official Telephone 7168420440
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle Transportation Services

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346424520 Lake Shore Behavioral Health Clinic/Center Lake Shore Behavioral Health, 254 Franklin Street, Buffalo, NY 14202 2007-12-24
1487973426 Lake Shore Behavioral Health Community/Behavioral Health 255 Delaware Ave, Suite 300, Buffalo, NY 14202-2016 2010-05-28

Office Location

Street Address 430 NIAGARA STREET
TRANSPORTATION
City BUFFALO
State NY
Zip Code 14201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669561551 Sandra Stephens Registered Nurse 430 Niagara Street, Act Program, Buffalo, NY 14201 2006-10-11
1336611607 Aaron Eric Zakrzewski Music Therapist 430 Niagara Street, Buffalo, NY 14201 2018-12-26
1770923799 Margery Stanton Counselor 430 Niagara Street, Buffalo, NY 14201 2013-07-05
1336483452 Taunya Clarke Social Worker 430 Niagara Street, Buffalo, NY 14201 2012-11-15
1629361068 Timothy Govenettio Registered Nurse 430 Niagara Street, Buffalo, NY 14201 2011-05-18
1164680666 Kathleen Mary Minyard Registered Nurse 430 Niagara Street, Act Program, Buffalo, NY 14201 2008-05-30
1508037060 Annie Williams Registered Nurse 430 Niagara Street, Act Program, Buffalo, NY 14201 2008-03-12
1598934705 Enelida Rodriguez Case Manager/Care Coordinator 430 Niagara Street, Blended Case Management, Buffalo, NY 14201 2008-02-22
1417126624 Randy Shine Case Manager/Care Coordinator 430 Niagara Street, Blended Case Management, Buffalo, NY 14201 2008-02-22
1518142728 Andrea Elizabeth Born Counselor 430 Niagara Street, Buffalo, NY 14201 2008-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619592201 Linda Berkoh-asamoah Nurse Practitioner Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 2020-06-10
1790223303 Walaa Kadhum Social Worker 340 Niagara Street, Buffalo, NY 14201 2017-02-02
1285171025 Santina Grace Phillips Counselor 10 Symphony Circle, Buffalo, NY 14201 2017-01-31
1073976759 Jana Riesterer Social Worker 254 Virginia Street, Buffalo, NY 14201 2016-03-31
1710309414 Chs N.y. Medical P.C. General Practice 10 Sheridan Rd, Buffalo, NY 14201 2014-01-15
1467722314 Kristin Nicole Halter Counselor 591 Niagara Street, Buffalo, NY 14201 2012-01-10
1538446844 Robert Martin Kennuth Specialist/Technologist 329 Porter Ave, D'youville College, Buffalo, NY 14201 2011-11-15
1902115033 James W Burcher Registered Nurse 430 Niagara, Buffalo, NY 14201 2010-10-07
1336468115 Jane Leslie Burgio Speech-Language Pathologist 315 Carolina St, Buffalo, NY 14201 2010-05-19
1376787044 Jessica Christina Licensed Practical Nurse 85 Johnson Park, Buffalo, NY 14201 2009-04-26
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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346867108 Oldsmith Logistics Private Vehicle 191 Plains Rd # 3a, Walden, NY 12586-2479 2020-06-28
1457985822 Five Star Medical Transportationllc Private Vehicle Five Star Medical Transportation LLC, 803 Woodbine Ave, Rochester, NY 14619-2326 2020-02-25
1588204135 Olga Y Burbano Private Vehicle 16428 Odonnell Rd, Jamaica, NY 11433-3936 2020-01-12
1801437439 Mcmurray Transportation Service Inc. Private Vehicle 415 Pennsylvania Ave Apt 1, Brooklyn, NY 11207-4737 2019-10-04
1760035943 Lend A Hand Companion Care Services Private Vehicle 652 Hyman Ave, Bay Shore, NY 11706-7511 2019-07-17
1699332189 Giving Dream Private Vehicle 2114 Williamsbridge Rd Ste 112, Bronx, NY 10461-1600 2019-05-21
1255805883 Medtransport Solutions Private Vehicle 198 Maryland Ave Apt D, Staten Island, NY 10305-3065 2019-01-16
1245709575 Mary Bozkurt Private Vehicle 74 Alpine Ave, Queensbury, NY 12804-6003 2018-11-15
1144798745 Chaise Alexander Williams Private Vehicle 94 Dolman Dr, Rochester, NY 14624-2961 2018-11-13
1477040111 Craig Blenman Private Vehicle 14 Manchester Blvd, Wheatley Heights, NY 11798-1519 2018-04-18
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Competitor

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City BUFFALO
Zip Code 14201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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