Lahtze Enterprises LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

401513 Issued in NY

Legal business name

LAHTZE ENTERPRISES LLC

Doing business as

NNY Behavioral Health Services

Practice address

7515 S State St
Lowville, NY 13367-1569

Phone

(315) 376-0376

Fax

(315) 376-0378

NPI assigned

May 4, 2016

Last updated

May 4, 2016By 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

April E Diles, PMHNP BCNPI 1972852069

Title

Psychiatric Nurse Practitioner

Phone

(315) 376-0376

Specialties & licenses 1

Addresses

Other names 1

• NNY Behavioral Health Services Doing business as

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.

• April E Diles, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lowville, NY
  • NPI 1972852069
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1548616949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 S STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671569",
            "telephone_number": "315-376-0376",
            "fax_number": "315-376-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 S STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671569",
            "telephone_number": "315-376-0376",
            "fax_number": "315-376-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAHTZE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "DILES",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "315-376-0376",
        "authorized_official_credential": "PMHNP BC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "401513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NNY Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Kozick
• KPH Healthcare Services, Inc. (Kinney Drugs #20)
• Amanda L Kraeger, LMT
• Julie L Kraeger, FNP
• Monica Kwicklis, M.D.
• Leah Catherine Lapp
• Rebecca Rachel Laufer, PSYD
• Caitlin P Lee
• Christine S Lee
• Miranda Austin Lehman, PT, DPT

• Adolescent and Children Mental Health Clinic/Center in Lowville, NY
• Providers in Lowville, NY by specialty
• Adolescent and Children Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.