Individual provider Active NPI

Madelyn Henry

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1538535695
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
40401768 Issued in NY
Practice address
255 Delaware Ave
Suite 300
Buffalo, NY 14202-2016
Phone
(716) 842-0440
Fax
(716) 842-4069
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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 40401768 NY Primary

Addresses

Primary practice location

255 Delaware Ave
Suite 300
Buffalo, NY 14202-2016

Mailing address

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

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
I20160114002029 NY Practitioner - Nurse Practitioner 8123321767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

951 Niagara St
Buffalo, NY 14213-2116
Phone (716) 884-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40401768NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. CurrentSince Nov 3, 2015 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Nov 3, 2015 Accepting new patients

Locations

1500 Broadway St
Buffalo, NY 14212
Phone (716) 422-2002

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

255 Delaware Ave
Ste 300
Buffalo, NY 14202
Phone (408) 348-2769

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

951 Niagara St
Buffalo, NY 14213
Phone (716) 883-5344

3176 Abbott Rd
Ste 500
Orchard Park, NY 14127
Phone (716) 822-2117

3176 Abbott Rd
Unit 500
Orchard Park, NY 14127
Phone (716) 822-2117

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1538535695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE",
            "address_2": "SUITE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022016",
            "telephone_number": "716-842-0440",
            "fax_number": "716-842-4069"
        },
        {
            "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",
            "fax_number": "716-842-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MADELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40401768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.