NPIMap

Organization Active NPI

Henrietta Psychiatric NP Care, PLLC

  • Community/Behavioral Health Agency
  • West Henrietta, NY
National Provider Identifier
1114648276
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HENRIETTA PSYCHIATRIC NP CARE, PLLC
Practice address
250-B Lucius Gordon Drive Suite 2
West Henrietta, NY 14586
Phone
(585) 471-3407
Fax
(866) 557-9530
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Mrs. Laura Baker, NPNPI 1508886292
Title
Owner
Phone
(585) 471-3407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

250-B Lucius Gordon Drive Suite 2
West Henrietta, NY 14586

Mailing address

250 Lucius Gordon Dr Ste 2
West Henrietta, NY 14586-9662
Phone (585) 471-3407

Other identifiers 1

IdentifierTypeStateIssuer
02184494MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL henriettapsych.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221010002509 NY Part B Supplier - Clinic/Group Practice 7416333745 Receives reassigned benefits from 14 practitioners
Practice locations: West Henrietta, NY

National Provider Directory

National Provider Directory

Locations

250 Lucius Gordon Dr
Ste 2
West Henrietta, NY 14586
Phone (585) 471-3407

250 Lucius Gordon Dr
Ste 4B
West Henrietta, NY 14586
Phone (585) 664-5248

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1114648276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LUCIUS GORDON DR STE 2",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869662",
            "telephone_number": "585-471-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250-B LUCIUS GORDON DRIVE SUITE 2",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "14586",
            "telephone_number": "585-471-3407",
            "fax_number": "866-557-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRIETTA PSYCHIATRIC NP CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-471-3407",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02184494",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "henriettapsych.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "250-B Lucius Gordon Drive Suite 4B",
            "city": "West Henrietta",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.