Organization Active NPI

Nurse Practitioner of Erie Niagara Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Seneca, NY
National Provider Identifier
1306333737
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401043 Issued in NY
Legal business name
NURSE PRACTITIONER OF ERIE NIAGARA PSYCHIATRY, PLLC
Practice address
3802 Seneca St
West Seneca, NY 14224-3433
Phone
(716) 677-5418
Fax
(716) 677-4240
NPI assigned
Apr 20, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Stefania Fynn-Aikins, PMHNP-BCNPI 1508955402
Title
Owner
Phone
(716) 908-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20180521002642 NY Part B Supplier - Clinic/Group Practice 2365707429 Receives reassigned benefits from 1 practitioner
Practice locations: West Seneca, NY

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 401043 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

3802 Seneca St
West Seneca, NY 14224-3433

Mailing address

3802 Seneca St
West Seneca, NY 14224-3433
Phone (716) 908-5433

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2018.

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1306333737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243433",
            "telephone_number": "716-908-5433",
            "fax_number": "716-677-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243433",
            "telephone_number": "716-677-5418",
            "fax_number": "716-677-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER OF ERIE NIAGARA PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "FYNN-AIKINS",
        "authorized_official_first_name": "STEFANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-908-5433",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.