Individual provider Active NPI

Sarah L Otwell, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1073956603
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401582 Issued in NY
Practice address
90 Sylvan Pkwy
Buffalo, NY 14228-1109
Phone
(716) 562-6044
Fax
(833) 392-1152
NPI assigned
Apr 13, 2013
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 401582 NY Primary

Addresses

Primary practice location

90 Sylvan Pkwy
Buffalo, NY 14228-1109

Mailing address

90 Sylvan Pkwy
Buffalo, NY 14228-1109
Phone (716) 562-6044

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
I20140130001309 NY Practitioner - Nurse Practitioner 6103055793 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brylin Hospitals, Inc. CurrentSince Aug 1, 2013 Accepting new patients
Brylin Hospitals, Inc. CurrentSince Aug 1, 2013 Accepting new patients
University Psychiatric Practice, Inc CurrentSince Jul 9, 2014 Accepting new patients
County of Niagara CurrentSince Sep 3, 2013 Accepting new patients
County of Niagara CurrentSince Sep 3, 2013 Accepting new patients
Junaid Hashim MD Past Accepting new patients

Locations

1263 Delaware Ave
Buffalo, NY 14209
Phone (716) 219-3636

462 Grider St
Rm 1168
Buffalo, NY 14215
Phone (716) 898-4857

5467 Upper Mountain Rd
#200
Lockport, NY 14094
Phone (716) 439-7400

1001 11th St
Fl 3
Niagara Falls, NY 14301
Phone (716) 278-1900

531 Farber Lakes Dr
Williamsville, NY 14221
Phone (716) 632-1595

Organizations & group practices 6

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": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1073956603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SYLVAN PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142281109",
            "telephone_number": "716-562-6044",
            "fax_number": "833-392-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SYLVAN PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142281109",
            "telephone_number": "716-562-6044",
            "fax_number": "833-392-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTWELL",
        "first_name": "SARAH",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-13",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.