Individual provider Active NPI

Kathryn Millard, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Collins, NY
National Provider Identifier
1033360102
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401136 Issued in NY
Practice address
2101 Spruce St
North Collins, NY 14111-9701
Phone
(716) 337-3706
NPI assigned
Oct 7, 2008
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 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 F401136 NY Primary

Addresses

Primary practice location

2101 Spruce St
North Collins, NY 14111-9701

Mailing address

1791 Hubbard Rd
East Aurora, NY 14052-3031
Phone (716) 512-9520

Other practice location 1

3176 Abbott Rd Ste 750
Orchard Park, NY 14127-1069
Phone (716) 822-2117

Other practice location 2

244 Hempstead Ave
Buffalo, NY 14215-3404
Phone (716) 831-7877

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
I20100319000111 NY Practitioner - Nurse Practitioner 3971657461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

3176 Abbott Rd
Suite 500
Orchard Park, NY 14127-1069
Phone (716) 822-2117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F401136NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. CurrentSince Sep 15, 2014 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Sep 15, 2014 Accepting new patients
Advanced Psychiatric Nurse Practitioner Practice, PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

2101 Spruce St
North Collins, NY 14111
Phone (716) 337-3706

3176 Abbott Rd
Ste 500
Orchard Park, NY 14127
Phone (716) 822-2117

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1033360102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 HUBBARD RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140523031",
            "telephone_number": "716-512-9520",
            "fax_number": "716-822-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 SPRUCE ST",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "141119701",
            "telephone_number": "716-337-3706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3176 Abbott Rd Ste 750",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271069",
            "country_code": "US",
            "telephone_number": "716-822-2117",
            "fax_number": "718-822-8165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "244 Hempstead Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153404",
            "country_code": "US",
            "telephone_number": "716-831-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "KATHRYN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Collins, NY

Sources for this page

Verify at the official NPI Registry.