WOODBRIDGE NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI# 1780168732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780168732 |
| Entity Type | Organization |
| Organization Name | WOODBRIDGE NURSE PRACTITIONER IN PSYCHIATRY PLLC |
| Practice Address |
680 Davison Road Lockport NY 14094 |
| Practice Telephone | 7169408565 |
| Mailing Telephone | 7169408565 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Authorized Official Name | MR. OBOT OBOT (OWNER) |
| Authorized Official Telephone | 7169408565 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS DEPT OF STATE | 5179127 | 01 |
| Other Name | Type Code |
|---|---|
| WOODBRIDGE PSYCHIATRY | Doing Business As Name - Organization |
| Street Address |
680 DAVISON ROAD |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377723 | Sarah A Shaw Od Optometrist Pllc | Optometrist | 215 East Avenue, Lockport, NY 14094 | 2019-07-02 |
| 1124512249 | Leleya Tsygyrlash | Registered Nurse | 6332 Green Valley Lane, Lockport, NY 14094 | 2018-06-21 |
| 1699226811 | Jessica Monroe | Specialist | 51 High Street, Lockport, NY 14094 | 2016-10-24 |
| 1689127334 | Allison Cuzzacrea | Physician Assistant | 3644 Day Road, Lockport, NY 14094 | 2016-07-29 |
| 1386027878 | Michael T Trombitas | Chiropractor | 244 Bewley Building, Market Street, Lockport, NY 14094 | 2015-07-02 |
| 1407265226 | Mary Len I | Social Worker | 519 Bewley Building, Lockport, NY 14094 | 2014-08-06 |
| 1871904441 | Edtasha New | Registered Nurse | 120 South New York Street, Lockport, NY 14094 | 2014-05-16 |
| 1326469313 | Eastern Niagara Neurology PC | Psychiatry & Neurology | 170 Professional Parkway, Lockport, NY 14094 | 2013-12-18 |
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| 1548528631 | Nicole Marie Mckeone | Massage Therapist | 5854 A Snyder Dr., Lockport, NY 14094 | 2012-04-26 |
| Find all providers in zip 14094 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1467069302 | Morning Dew Therapy, LLC | Clinic/Center | 370 Westchester Ave Apt 6u, Port Chester, NY 10573-3647 | 2020-09-24 |
| 1104430263 | Annmarie Johnson-rowe Np In Psychiatry | Clinic/Center | 14240 249th St, Rosedale, NY 11422-2144 | 2020-09-04 |
| 1700499381 | Tabitha Gonzalez Licensed Mental Health Counseling Pllc | Clinic/Center | 100 S Bedford Rd Ste 340321, Mount Kisco, NY 10549-3425 | 2020-08-25 |
| 1639791924 | Sanctuary Aso LLC | Clinic/Center | 57 W 57th St Ste 1101, New York, NY 10019-2814 | 2020-05-11 |
| 1740810282 | Therapeutic Solutions Ltd | Clinic/Center | 42 Main St Ste 201, Nyack, NY 10960-3204 | 2020-01-23 |
| 1548802770 | Christopher Bandini, Inc | Clinic/Center | 303 5th Ave Rm 1703, New York, NY 10016-6641 | 2019-10-09 |
| 1386290856 | Discovery Mental Health Counseling | Clinic/Center | 202 Saint Nicholas Ave, Brooklyn, NY 11237-5883 | 2019-08-12 |
| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1346706793 | North Shore Services | Clinic/Center | 175 E Main St Ste 109, Huntington, NY 11743-2954 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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| 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.