NPIMap

Organization Active NPI

Mid Erie Mental Health Services Inc

  • Counselor
  • Cheektowaga, NY
National Provider Identifier
1225095201
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MID ERIE MENTAL HEALTH SERVICES INC
Practice address
1526 Walden Ave
Ste 400
Cheektowaga, NY 14225-4965
Phone
(716) 895-7167
Fax
(716) 382-4488
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Patrick J McInerney, CPA
Title
Cfo
Phone
(716) 895-7167

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X

Addresses

Primary practice location

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225-4965

Mailing address

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225-4965
Phone (716) 895-7167

Other identifiers 18

IdentifierTypeStateIssuer
000506023001OtherCOMMUNITY BLUE
000507788006OtherBLUE CROSS MENTAL HEALTH
000525284002OtherBLUE CROSS MENTAL HEALTH
000528870001OtherPPO BLUE CROSS MENTAL H
0029795OtherGHI
8401019OtherIHA
00011241001OtherUNIVERA MEDICAL DOCTOR
000525283001OtherBLUE CROSS MENTAL HEALTH
1131OtherBLUE CROSS CHD
000524043001OtherBLUE CROSS MENTAL HEALTH
000000859000OtherPPO BLUE CROSS
000500635005OtherBLUE CROSS MENTAL HEALTH
000000858000OtherPPO BLUE CROSS
000081002150OtherFIDELIS
000000809000OtherPPO BLUE CROSS
1526OtherBLUE CROSS CHD
000504008007OtherBLUE CROSS MENTAL HEALTH
463OtherBLUE CROSS CHD

Other names 1

  • Mid Erie Counseling and Treatment Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050214000337 NY Part B Supplier - Clinic/Group Practice 5496707945 Receives reassigned benefits from 81 practitioners
Practice locations: Buffalo, NY; Cheektowaga, NY

National Provider Directory

National Provider Directory

Locations

463 William St
Buffalo, NY 14204
Phone (716) 852-0383

1526 Walden Ave
Cheektowaga, NY 14225
Phone (716) 895-7167

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

3671 Southwestern Blvd
Ste 209
Orchard Park, NY 14127
Phone (716) 662-2595

Practitioners 349

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

View all 349

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1225095201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE",
            "address_2": "STE 400",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254965",
            "telephone_number": "716-895-7167",
            "fax_number": "716-382-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE",
            "address_2": "STE 400",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254965",
            "telephone_number": "716-895-7167",
            "fax_number": "716-382-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ERIE MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "MCINERNEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-895-7167",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000506023001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MENTAL HEALTH",
            "identifier": "000507788006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MENTAL HEALTH",
            "identifier": "000525284002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO BLUE CROSS MENTAL H",
            "identifier": "000528870001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0029795",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "8401019",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA MEDICAL DOCTOR",
            "identifier": "00011241001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MENTAL HEALTH",
            "identifier": "000525283001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CHD",
            "identifier": "1131",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MENTAL HEALTH",
            "identifier": "000524043001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO BLUE CROSS",
            "identifier": "000000859000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MENTAL HEALTH",
            "identifier": "000500635005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO BLUE CROSS",
            "identifier": "000000858000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "000081002150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO BLUE CROSS",
            "identifier": "000000809000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CHD",
            "identifier": "1526",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MENTAL HEALTH",
            "identifier": "000504008007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CHD",
            "identifier": "463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Erie Counseling and Treatment Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.