Michael Francis Owczarczak

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008492 Issued in NY

Practice address

105 Crosspoint Pkwy
Amherst, NY 14068-1603

Phone

(716) 564-3630

NPI assigned

Jan 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1700426285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CROSSPOINT PKWY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "140681603",
            "telephone_number": "716-564-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CROSSPOINT PKWY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "140681603",
            "telephone_number": "716-564-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWCZARCZAK",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF PROFESSIONS",
            "identifier": "008492",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Michael.Owczarczak@Fideliscare.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "105 Crosspoint Pkwy",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140681603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Amherst, NY
• Providers in Amherst, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.