Buffalo Psychology Group

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

006789-1 Issued in NY

Legal business name

BUFFALO PSYCHOLOGY GROUP

Practice address

290 Woodward Ave
Buffalo, NY 14214-1905

Phone

(716) 833-6084

NPI assigned

Jul 9, 2005

Last updated

Aug 22, 2020By 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

Mrs. Candice P. Unger, RNNPI 1841362787

Title

Manager

Phone

(716) 833-6084

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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.

• Thomas E. Unger, PH.D.

  • Clinical Psychologist
  • Buffalo, NY
  • NPI 1194723510
  Medicare reassignment
• Candice Proudfoot Unger, RN, LMHC

  • Registered Nurse
  • Buffalo, NY
  • NPI 1841362787
  NPD (past) Authorized official
• James P. Butters, PSY.D.

  • Psychologist
  • Williamsville, NY
  • NPI 1659378370
  NPD (past)
• Kevin Patrick Duffy, PSY.D.

  • School Psychologist
  • Tonawanda, NY
  • NPI 1578616603
  NPD (past)
• Michael E Rutter, PH.D.

  • Counseling Psychologist
  • Williamsville, NY
  • NPI 1942202445
  NPD (past)
• Diana G Watson, PHD

  • Psychologist
  • Buffalo, NY
  • NPI 1073686028
  NPD (past)

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568460988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 WOODWARD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141905",
            "telephone_number": "716-833-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 WOODWARD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141905",
            "telephone_number": "716-833-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO PSYCHOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNGER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-833-6084",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006789-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffalo Psychiatric Center
• Buffalo Psychiatric Center
• Buffalo Psychiatric Center Act Team
• Buffalo Psychiatry, P.C.
• Buffalo Psychioatric Center
• Buffalo Psychotherapy LCSW, PLLC
• Buffalo Public Schools
• Buffalo Public Schools
• Buffalo Public Schools
• Buffalo Royal Transportation Inc

• Clinical Psychologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.