NPIMap

Organization Active NPI

Mid Erie

  • Community/Behavioral Health Agency
  • Buffalo, NY
National Provider Identifier
1427416627
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MID ERIE
Practice address
1131 Broadway St
Buffalo, NY 14212-1501
Phone
(716) 896-7350
NPI assigned
Feb 2, 2016
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Miss Cayla Marie Guadalupe, BSW
Title
Intern
Phone
(716) 896-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1131 Broadway St
Buffalo, NY 14212-1501

Mailing address

1131 Broadway St
Buffalo, NY 14212-1501
Phone (716) 896-7350

Other names 1

  • Endeavor Other name

National Provider Directory

National Provider Directory

Locations

1131 Broadway St
Buffalo, NY 14212
Phone (716) 896-7350

Practitioners & affiliated clinicians

Practitioners 73

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.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1427416627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121501",
            "telephone_number": "716-896-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BROADWAY ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142121501",
            "telephone_number": "716-896-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "GUADALUPE",
        "authorized_official_first_name": "CAYLA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "716-896-7350",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endeavor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.