Individual provider Active NPI

Rebecca Brown-Young, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Collins, NY
National Provider Identifier
1588069348
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401827 Issued in NY
Practice address
10484 Main St
North Collins, NY 14111-9409
Phone
(716) 680-7163
Fax
(716) 680-7163
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 472010 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401827 NY Primary

Addresses

Primary practice location

10484 Main St
North Collins, NY 14111-9409

Mailing address

10484 Main St
North Collins, NY 14111-9409
Phone (716) 337-3056

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
I20150827000676 NY Practitioner - Nurse Practitioner 2860708450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

254 Franklin St
Buffalo, NY 14202-1932
Phone (716) 551-7894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
472010NYMDPsychiatric/Mental Health Registered Nurse
F401827NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brown-Young Nurse Practitioner Psychiatry PLLC Psychiatric/Mental Health CurrentSince Mar 24, 2025 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Nov 3, 2017 Accepting new patients
Bestself Behavioral Health, Inc. Current Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Nov 3, 2017 Accepting new patients
Lighthouse Counseling Services LCSW PLLC PastSince Nov 1, 2019 Accepting new patients

Locations

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

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

112 W Main St
Ste 4
Fredonia, NY 14063
Phone (716) 680-8101

4435 Southwestern Blvd Ste 709B
Hamburg, NY 14075

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1588069348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10484 MAIN ST",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "141119409",
            "telephone_number": "716-337-3056",
            "fax_number": "716-337-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10484 MAIN ST",
            "city": "NORTH COLLINS",
            "state": "NY",
            "postal_code": "141119409",
            "telephone_number": "716-680-7163",
            "fax_number": "716-680-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-YOUNG",
        "first_name": "REBECCA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "472010",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Collins, NY

Sources for this page

Verify at the official NPI Registry.