Individual provider Active NPI

Rebekah Mara Williams, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Olean, NY
National Provider Identifier
1275801979
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401628-1 Issued in NY
Practice address
237 Delaware Ave Ste 14&15
Olean, NY 14760-2601
Phone
(716) 790-8847
Fax
(716) 526-4161
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 1275801979 NY
Psychiatric/Mental Health Registered Nurse 163WP0808X 22 605850 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401628-1 NY Primary

Addresses

Primary practice location

237 Delaware Ave Ste 14&15
Olean, NY 14760-2601

Mailing address

1465 Foote Avenue Ext
Jamestown, NY 14701-9383
Phone (716) 526-4041

Other names 1

  • Rebekah Mara Brownstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150126000848 NY Practitioner - Nurse Practitioner 0042534950 Reassigns benefits to 3 organizations
I20200827000090 PA Practitioner - Nurse Practitioner 0042534950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamestown Psychiatric PCGroup PAC ID 0244314631, 15 clinicians

Practice addresses (Care Compare)

1465 Foote Ave Ext
Jamestown, NY 14701-9383
Phone (716) 526-4041

237 Delaware Ave
Suite 14And15
Olean, NY 14760-2601
Phone (716) 526-4041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22 605850NYMDPsychiatric/Mental Health Registered Nurse
F401628-1NYMDPsychiatric/Mental Health Nurse Practitioner
1275801979NYMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Psychiatric PC CurrentSince Aug 1, 2023 Accepting new patients
County of Cattaraugus County Treasurer CurrentSince Nov 18, 2014 Accepting new patients
Olean General Hospital Psychiatric/Mental Health CurrentSince Nov 1, 2014 Accepting new patients
County of Cattaraugus Psychiatric/Mental Health CurrentSince Nov 18, 2014 Accepting new patients
Olean General Hospital CurrentSince Jul 8, 2020 Accepting new patients
Olean General Hospital CurrentSince Nov 1, 2014 Accepting new patients

Locations

1465 Foote Avenue Ext
Jamestown, NY 14701
Phone (716) 526-4041

515 Main St
Olean, NY 14760
Phone (716) 373-2600

1 Leo Moss Dr
Ste 4308
Olean, NY 14760
Phone (716) 373-8040

200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293

116 Interstate Pkwy
Fl 5
Bradford, PA 16701

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1275801979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 FOOTE AVENUE EXT",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147019383",
            "telephone_number": "716-526-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 DELAWARE AVE STE 14&15",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602601",
            "telephone_number": "716-790-8847",
            "fax_number": "716-526-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REBEKAH",
        "middle_name": "MARA",
        "name_prefix": "Prof.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "1275801979",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "22 605850",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401628-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "BROWNSTEIN",
            "middle_name": "MARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.