Active NPI
Mind Body Medicine of Buffalo P.C.
- Family Medicine Physician
- Williamsville, NY
National Provider Identifier
1063321719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MIND BODY MEDICINE OF BUFFALO P.C.
- Practice address
- 5820 Main St Ste 303
Williamsville, NY 14221-5734 - Phone
- (716) 704-0684
- NPI assigned
- Sep 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tricia E Sauer, RDN
- Title
- Chief Clinical Officer / Secretary
- Phone
- (716) 704-0684
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Psychiatry Physician | 2084P0800X | |||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
5820 Main St Ste 303
Williamsville, NY 14221-5734
Mailing address
PO Box 831
Grand Island, NY 14072-0831
Phone (716) 704-0684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788739200000",
"number": "1063321719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 831",
"city": "GRAND ISLAND",
"state": "NY",
"postal_code": "140720831",
"telephone_number": "716-704-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 MAIN ST STE 303",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215734",
"telephone_number": "716-704-0684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND BODY MEDICINE OF BUFFALO P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A",
"authorized_official_last_name": "SAUER",
"authorized_official_first_name": "TRICIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER / SECRETARY",
"authorized_official_telephone_number": "716-704-0684",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"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 Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.