Active NPI
Nurse Practitioner in Psychiatry of Wny PC
- Psychiatric/Mental Health Nurse Practitioner
- Orchard Park, NY
National Provider Identifier
1245129105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NURSE PRACTITIONER IN PSYCHIATRY OF WNY PC
- Practice address
- 3911 N Buffalo St
Orchard Park, NY 14127-1841 - Phone
- (716) 603-6680
- NPI assigned
- Jul 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Fitt
- Title
- Owner
- Phone
- (716) 603-6680
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3911 N Buffalo St
Orchard Park, NY 14127-1841
Mailing address
3911 N Buffalo St
Orchard Park, NY 14127-1841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1245129105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 N BUFFALO ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 N BUFFALO ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271841",
"telephone_number": "716-603-6680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE PRACTITIONER IN PSYCHIATRY OF WNY PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-02",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "FITT",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-603-6680"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.