Active NPI
Nurse Practitioner of Erie Niagara Psychiatry, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- West Seneca, NY
National Provider Identifier
1306333737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401043
- 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-BC
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Amherst, NY
- NPI 1508955402
NY, Psychiatric/Mental Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401043 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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.