Individual provider Active NPI

Alissa Schiske, PSYD

  • Psychologist
  • Buffalo, NY
National Provider Identifier
1306553227
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
026260 Issued in NY
Practice address
2969 Main St Ste 400
Buffalo, NY 14214-1003
Phone
(716) 341-4740
NPI assigned
Oct 31, 2022
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X 026260 NY Primary

Addresses

Primary practice location

2969 Main St Ste 400
Buffalo, NY 14214-1003

Mailing address

2969 Main St Ste 400
Buffalo, NY 14214-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709002287 NY Practitioner - Clinical Psychologist 7113431354 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Victory Healthcare Center CurrentSince May 8, 2025 Accepting new patients
Village Psychology Group, PLLC CurrentSince Jun 4, 2023 Accepting new patients

Locations

2969 Main St
Ste 400
Buffalo, NY 14214
Phone (716) 341-4733

790 Ridge Rd
Lackawanna, NY 14218
Phone (716) 828-9334

790 Ridge Rd
Fl 2
Lackawanna, NY 14218
Phone (716) 828-7586

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1306553227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 MAIN ST STE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 MAIN ST STE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141003",
            "telephone_number": "716-341-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHISKE",
        "first_name": "ALISSA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "026260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.