Active NPI
Paul C Nation, PHD
- Cognitive & Behavioral Psychologist
- Batavia, NY
National Provider Identifier
1174582472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 011852-1
- Practice address
- 203 Summit St
Batavia, NY 14020-1613 - Phone
- (585) 344-3190
- Fax
- (585) 344-3235
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 011852-1 | NY | Primary |
Addresses
Primary practice location
203 Summit St
Batavia, NY 14020-1613
Mailing address
203 Summit St
Batavia, NY 14020-1613
Phone (585) 344-3190
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01001852 | Other | NY | BLUE CHOICE |
| MDE421 | Other | NY | PREFERRED CARE |
| 01501817 | Medicaid | NY | |
| 000524520001 | Other | NY | BLUE CROSS WNY |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040423001305 | NY | Practitioner - Clinical Psychologist | 1456347368 | Practice locations: Batavia, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011852-1 | NY | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1174582472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 SUMMIT ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201613",
"telephone_number": "585-344-3190",
"fax_number": "585-344-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 SUMMIT ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201613",
"telephone_number": "585-344-3190",
"fax_number": "585-344-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATION",
"first_name": "PAUL",
"middle_name": "C",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "011852-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P01001852",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MDE421",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01501817",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS WNY",
"identifier": "000524520001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Batavia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.