Active NPI
Thanh Nguyen, NP
- Psychiatric/Mental Health Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403712
- Practice address
- 1967 Wehrle Dr Ste 1086
Buffalo, NY 14221-8452 - Phone
- (415) 403-2156
- NPI assigned
- Jun 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26141 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0993282-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95012142 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP145793 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403712 | NY | Primary |
Addresses
Primary practice location
1967 Wehrle Dr Ste 1086
Buffalo, NY 14221-8452
Mailing address
340 S Lemon Ave # 9892
Walnut, CA 91789-2706
Other practice location 1
1560 Broadway Ste 1600
Denver, CO 80202-5160
Phone (323) 205-7088
Other practice location 2
301 W 18th St
Merced, CA 95340-4835
Phone (831) 245-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Knoxville, TN 37923
Phone (415) 360-3348
Austin, TX 78731
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts, Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012142 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP145793 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical of Michigan PC | Current | Accepting new patients |
Locations
2471 Peralta St
Oakland, CA 94607
Phone (614) 208-7845
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
2601 Jackson Ave
#1133
Ann Arbor, MI 48103
Organizations & group practices 2
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": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1689235525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S LEMON AVE # 9892",
"city": "WALNUT",
"state": "CA",
"postal_code": "917892706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1967 WEHRLE DR STE 1086",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142218452",
"telephone_number": "415-403-2156"
}
],
"practiceLocations": [
{
"address_1": "1560 Broadway Ste 1600",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802025160",
"country_code": "US",
"telephone_number": "323-205-7088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 W 18th St",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953404835",
"country_code": "US",
"telephone_number": "831-245-3330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THANH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-21",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "26141",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0993282-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95012142",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP145793",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403712",
"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 Dec 23, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.