Active NPI
Bernadette C. McCourt, PH.D.
- Psychologist
- Buffalo, NY
National Provider Identifier
1649262569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 016079-1
- Practice address
- 1250 Niagara St Ste 230
Buffalo, NY 14213-1776 - Phone
- (716) 512-5577
- Fax
- (716) 580-7006
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016079-1 | NY | Primary |
Addresses
Primary practice location
1250 Niagara St Ste 230
Buffalo, NY 14213-1776
Mailing address
1250 Niagara St Ste 230
Buffalo, NY 14213-1776
Phone (716) 512-5577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 26, 2016 through Jan 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016079-1 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756598400000",
"number": "1649262569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 NIAGARA ST STE 230",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131776",
"telephone_number": "716-512-5577",
"fax_number": "716-580-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 NIAGARA ST STE 230",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142131776",
"telephone_number": "716-512-5577",
"fax_number": "716-580-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOURT",
"first_name": "BERNADETTE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2025-08-31",
"certification_date": "2025-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NY",
"license": "016079-1",
"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 Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.