Active NPI
Maureen Conway, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Williamsville, NY
National Provider Identifier
1124195722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 200350118NP
- Practice address
- 100 College Pkwy Ste 255
Williamsville, NY 14221-6886 - Phone
- (716) 573-1991
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200350118NP | OR | Primary |
| Psychiatry Physician | 2084P0800X | 404004 | NY |
Addresses
Primary practice location
100 College Pkwy Ste 255
Williamsville, NY 14221-6886
Mailing address
100 College Pkwy Ste 255
Williamsville, NY 14221-6886
Phone (716) 573-1991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 858593000 | Other | OR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 404004 | NY | MD | Psychiatry Physician |
| 200350118NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1124195722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COLLEGE PKWY STE 255",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216886",
"telephone_number": "716-573-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COLLEGE PKWY STE 255",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216886",
"telephone_number": "716-573-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "MAUREEN",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "200350118NP",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "404004",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "858593000",
"state": "OR"
}
],
"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 Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.