Daijha Fulgham Nurse Practitioner in Psychiatry PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DAIJHA FULGHAM NURSE PRACTITIONER IN PSYCHIATRY PLLC

Practice address

60 Hedley PL
Buffalo, NY 14208-1061

Phone

(716) 341-9644

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Daijha Caprice Fulgham, NP

Title

PNP

Phone

(716) 341-9644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daijha Caprice Cobbs, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1699243287
  Medicare reassignment NPD

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1366261018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CALDERWOOD DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151336",
            "telephone_number": "716-341-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HEDLEY PL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142081061",
            "telephone_number": "716-341-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAIJHA FULGHAM NURSE PRACTITIONER IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "FULGHAM",
        "authorized_official_first_name": "DAIJHA",
        "authorized_official_middle_name": "CAPRICE",
        "authorized_official_title_or_position": "PNP",
        "authorized_official_telephone_number": "716-341-9644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Dahn
• Elena Dai, PA
• Benjamin Daigler, PHARM.D.
• Dorothy Daigler, PNP
• Janice Daigler
• Georgia Rose Dailey, PT, DPT
• Dene Ann Dainotto, DNP, CRNA
• Dakdental Incorporated (Dakmed Inc.)
• Anthony Dakwar, M.D.
• Brian Daley

• Adult Mental Health Clinic/Center in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.