NPIMap

Organization Active NPI

Lake Shore Behavioral Health

  • Community/Behavioral Health Agency
  • Buffalo, NY
National Provider Identifier
1487973426
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAKE SHORE BEHAVIORAL HEALTH
Practice address
255 Delaware Ave
Suite 300
Buffalo, NY 14202-2016
Phone
(716) 842-0440
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Dr. Howard K Hitzel
Title
President
Phone
(716) 842-0440

Specialties & licenses 1

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

Addresses

Primary practice location

255 Delaware Ave
Suite 300
Buffalo, NY 14202-2016

Mailing address

255 Delaware Ave Ste 300
Buffalo, NY 14202-2016
Phone (716) 842-0440

National Provider Directory

National Provider Directory
Tax ID family
Lackawanna Counseling S12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1487973426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE STE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022016",
            "telephone_number": "716-842-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE",
            "address_2": "SUITE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022016",
            "telephone_number": "716-842-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "HITZEL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-842-0440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 28, 2010; 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.