Individual provider Active NPI

Katie Cauley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1396467783
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404222 Issued in NY
Practice address
17 Limestone Dr Ste 5
Williamsville, NY 14221-8601
Phone
(716) 458-0031
Fax
(716) 428-3037
NPI assigned
Sep 13, 2022
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404222 NY Primary

Addresses

Primary practice location

17 Limestone Dr Ste 5
Williamsville, NY 14221-8601

Mailing address

17 Limestone Dr Ste 5
Williamsville, NY 14221-8601
Phone (716) 458-0031

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221002790 NY Practitioner - Nurse Practitioner 8820461726 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
404222NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Nurse Practitioner P.C Psychiatric/Mental Health CurrentSince Nov 25, 2024 Accepting new patients
Baker Hall CurrentSince Dec 18, 2023 Accepting new patients
Baker Hall Inc Past Accepting new patients

Locations

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

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

Organizations & group practices 4

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1396467783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LIMESTONE DR STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218601",
            "telephone_number": "716-458-0031",
            "fax_number": "716-428-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LIMESTONE DR STE 5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218601",
            "telephone_number": "716-458-0031",
            "fax_number": "716-428-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULEY",
        "first_name": "KATIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.