Great Lakes NP of Psychiatry, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400896 Issued in NY

Legal business name

GREAT LAKES NP OF PSYCHIATRY, PLLC

Practice address

3802 Seneca St
West Seneca, NY 14224-3433

Phone

(716) 677-5418

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Lorraine A. Lopez, PMHNP

Title

Owner

Phone

(716) 908-1711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorraine A. D'Angelo, PMH NP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Seneca, NY
  • NPI 1912233081
  Medicare reassignment NPD

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1790273308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140510061",
            "telephone_number": "716-908-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243433",
            "telephone_number": "716-677-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES NP OF PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-908-1711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Eve Graci, PA-C
• Tracy Graham
• Joshua Paul Grant, D.D.S.
• Michael Thomas Grant, M D
• Taylor Grayson
• Sally Green
• Greenwood Residences, Inc.
• Lessie B Grey, CDN
• Carrie Griffin-Owens
• Amy Jean Griffin, PA-C

• Psychiatric/Mental Health Nurse Practitioner in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.