South Street Health Services Family Health and Psychiatry NPS PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SOUTH STREET HEALTH SERVICES FAMILY HEALTH AND PSYCHIATRY NPS PLLC

Practice address

8-12 South Street
Lockport, NY 14094-1409

Phone

(716) 797-0099

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. David Martin Julien, FNPNPI 1194149658

Title

Owner

Phone

(716) 727-0099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Martin Julien, FNP

  • Family Nurse Practitioner
  • Oceanside, NY
  • NPI 1194149658
  Medicare reassignment Care Compare group Authorized official
• Sheryl Antoinette Campbell-Julien, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1740653583
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1104442458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KINGSTON CIR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945606",
            "telephone_number": "716-727-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8-12 SOUTH STREET",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941409",
            "telephone_number": "716-797-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH STREET HEALTH SERVICES FAMILY HEALTH AND PSYCHIATRY NPS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "JULIEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-727-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McQuaid Smyth, PHARMD
• Duane Snyder, OD
• Heather May Sodaro, PHARM. D.
• Christopher Somsook, DO
• South Lockport Fire Company, Inc.
• Christopher Charles Sova, PHD
• Nancy Michele St Laurent, LPN
• St. Petersburg Medical Care LLC
• Corey Alexander Stack, PA
• Bonnie Lynn Stafford

• Nurse Practitioner in Lockport, NY
• Providers in Lockport, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.