De la Cruz Nurse Practitioner in Psychiatry, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DE LA CRUZ NURSE PRACTITIONER IN PSYCHIATRY, PLLC

Practice address

5330 Genesee St
Bowmansville, NY 14026-1035

Phone

(716) 300-8323

Fax

(716) 322-4499

NPI assigned

Feb 5, 2025

Last updated

Feb 5, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rachelle Camelle De la Cruz, PMHNP-BCNPI 1578176160

Title

Nurse Practitioner/ Owner

Phone

(716) 819-7561

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachelle Camelle De la Cruz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1578176160
  NPD Authorized official

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1063226520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VIA PINTO DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212756",
            "telephone_number": "716-819-7561",
            "fax_number": "716-322-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 GENESEE ST",
            "city": "BOWMANSVILLE",
            "state": "NY",
            "postal_code": "140261035",
            "telephone_number": "716-300-8323",
            "fax_number": "716-322-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Sweet Home Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142282778",
            "country_code": "US",
            "telephone_number": "716-300-8323",
            "fax_number": "716-322-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DE LA CRUZ NURSE PRACTITIONER IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "CAMELLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/ OWNER",
        "authorized_official_telephone_number": "716-819-7561",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Bartz
• Emily Marie Bouchard, RDN
• Steven Adrian Comeau, LCSW
• Marlene Covett, OT
• Elizabeth Davis
• Alana Depoint
• Nicole Dicara
• Megan N Dimit, MSED
• Gateway-Longview Therapeutic Preschool
• Gateway-Longview, Inc.

• Psychiatry Physician in Bowmansville, NY
• Providers in Bowmansville, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.