Individual provider Active NPI

Erika M Malinowski, R.N., PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1063756773
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401537-1 Issued in NY
Practice address
21 Linwood Ave
Williamsville, NY 14221-6501
Phone
(716) 626-9016
Fax
(716) 626-4271
NPI assigned
Nov 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 619984-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401537-1 NY Primary

Addresses

Primary practice location

21 Linwood Ave
Williamsville, NY 14221-6501

Mailing address

21 Linwood Ave
Williamsville, NY 14221-6501
Phone (716) 626-9016

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
I20130321000476 NY Practitioner - Nurse Practitioner 8628213600 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, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

254 Franklin St
Buffalo, NY 14202-1932
Phone (716) 551-7894

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
619984-1NYMDRegistered Nurse
F401537-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. CurrentSince Mar 1, 2013 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Mar 1, 2013 Accepting new patients

Locations

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

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

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1063756773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-626-9016",
            "fax_number": "716-626-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-626-9016",
            "fax_number": "716-626-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOWSKI",
        "first_name": "ERIKA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "R.N., PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "619984-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401537-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.