Individual provider Active NPI

Chanel M Freeman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1679822191
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403379-01 Issued in NY
Practice address
300 International Dr Ste 100
Williamsville, NY 14221-5783
Phone
(716) 218-9827
Fax
(716) 221-8457
NPI assigned
Aug 30, 2012
Last updated
Jan 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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 Nurse Practitioner 363LP0808X F403379-01 NY Primary
Registered Nurse 163W00000X 659211 NY

Addresses

Primary practice location

300 International Dr Ste 100
Williamsville, NY 14221-5783

Mailing address

349 Cottonwood Dr
Buffalo, NY 14221-1506
Phone (716) 201-0180

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
I20210614001079 NY Practitioner - Nurse Practitioner 3476953480 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

349 Cottonwood Dr
Buffalo, NY 14221-1506

4498 Main St
Suite 4
Buffalo, NY 14226-3826
Phone (716) 218-9827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
659211NYMDRegistered Nurse
F403379-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC Psychiatric/Mental Health CurrentSince Aug 11, 2021 Accepting new patients
Knapp Street Psychiatry, PC Psychiatric/Mental Health CurrentSince Jun 1, 2021 Accepting new patients
Chanel Freeman NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

4498 Main St
Ste 4
Buffalo, NY 14226
Phone (716) 218-9827

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1679822191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 COTTONWOOD DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142211506",
            "telephone_number": "716-201-0180",
            "fax_number": "716-303-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL DR STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215783",
            "telephone_number": "716-218-9827",
            "fax_number": "716-221-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "CHANEL",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403379-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "659211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.