Individual provider Active NPI

Terry Jo Brooks-Devlin, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tonawanda, NY
National Provider Identifier
1831526763
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401661 Issued in NY
Practice address
612 Adam St
Tonawanda, NY 14150-3626
Phone
(716) 861-2749
NPI assigned
Oct 10, 2013
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401661 NY Primary

Addresses

Primary practice location

612 Adam St
Tonawanda, NY 14150-3626

Mailing address

612 Adam St
Tonawanda, NY 14150-3626
Phone (716) 861-2749

Other practice location 1

Elm and Carlton St
Buffalo, NY 14263-3626
Phone (716) 845-2300

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
I20150506002309 NY Practitioner - Nurse Practitioner 2769701150 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Erie Mental Health Services IncGroup PAC ID 5496707945, 33 clinicians
The Dale Association, Inc.Group PAC ID 3971538232, 4 clinicians
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

1526 Walden Ave
Cheektowaga, NY 14225-4985
Phone (716) 895-7167

33 Ontario St
Lockport, NY 14094-2815
Phone (716) 433-1937

515 Main St
Olean, NY 14760-1513
Phone (716) 375-6993

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
401661NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital CurrentSince May 1, 2025 Accepting new patients
Mid Erie Mental Health Services Inc CurrentSince Oct 2, 2013 Accepting new patients
Brylin Hospitals, Inc. CurrentSince Jun 24, 2018 Accepting new patients
Brylin Hospitals, Inc. CurrentSince Jun 24, 2018 Accepting new patients
Olean General Hospital Psychiatric/Mental Health Current Accepting new patients
Roswell Park Cancer Institute CurrentSince Nov 1, 2022 Accepting new patients
Roswell Park Cancer Institute CurrentSince Nov 1, 2022 Accepting new patients
Amherst Psychiatry, PC CurrentSince Feb 1, 2021 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

1205 Delaware Ave
Buffalo, NY 14209
Phone (585) 663-6368

1263 Delaware Ave
Buffalo, NY 14209
Phone (716) 219-3636

Dept 8000
Buffalo, NY 14267

Elm and Carlton St
Buffalo, NY 14263

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

515 Main St
Olean, NY 14760
Phone (716) 373-2600

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

531 Farber Lakes Dr
Williamsville, NY 14221
Phone (716) 632-1595

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1831526763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ADAM ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503626",
            "telephone_number": "716-861-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ADAM ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503626",
            "telephone_number": "716-861-2749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Elm and Carlton St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142633626",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "fax_number": "716-845-3549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS-DEVLIN",
        "first_name": "TERRY JO",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.