Active NPI
Nichole Marie McLeod, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Lancaster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 405506
- Practice address
- 5775 Broadway St
Lancaster, NY 14086-2456 - Phone
- (716) 544-8848
- Fax
- (888) 612-0831
- NPI assigned
- Sep 13, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 732698 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 405506 | NY | Primary |
Addresses
Primary practice location
5775 Broadway St
Lancaster, NY 14086-2456
Mailing address
81 Dartwood Dr
Cheektowaga, NY 14227-3121
Phone (716) 578-5788
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
191 Orchard St
Apt 4D
New York, NY 10002-1424
Phone (718) 534-0689
5775 Broadway St
Suite 14
Lancaster, NY 14086-2456
Phone (716) 544-8848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 732698 | NY | MD | Psychiatric/Mental Health Registered Nurse |
| 405506 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Nurse Practitioner P.C | Psychiatric/Mental Health | Current | Accepting new patients |
| Integrative Nurse Practitioner in Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
5775 Broadway St
Ste 14
Lancaster, NY 14086
Phone (716) 544-8848
5775 Broadway St
Lancaster, NY 14086
Phone (716) 427-4803
245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lancaster, NY
- NPI 1639985435
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1518595727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1730858721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 DARTWOOD DR",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142273121",
"telephone_number": "716-578-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 BROADWAY ST",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140862456",
"telephone_number": "716-544-8848",
"fax_number": "888-612-0831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "NICHOLE",
"middle_name": "MARIE",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "732698",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "405506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.