Individual provider Active NPI

Olena Sardo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1881312726
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406922 Issued in NY
Practice address
1170 Main St Ste 400
Buffalo, NY 14209-2380
Phone
(716) 883-1914
Fax
(716) 883-7637
NPI assigned
Aug 17, 2022
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11022960 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0035486 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406922 NY Primary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X APRN11022960 FL

Addresses

Primary practice location

1170 Main St Ste 400
Buffalo, NY 14209-2380

Mailing address

70 Barker St
Buffalo, NY 14209-2013
Phone (716) 883-1914

Other names 1

  • Olena Kulyk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240607001478 OH Practitioner - Nurse Practitioner 8921540782 Reassigns benefits to 1 organization
I20241231000914 FL Practitioner - Nurse Practitioner 8921540782 Reassigns benefits to 1 organization
I20250802000301 NY Practitioner - Nurse Practitioner 8921540782 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11022960FLMDAcute Care Nurse Practitioner
406922NYMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0035486OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ravenwood Mental Health Center CurrentSince Apr 9, 2024 Accepting new patients
Rappore Medicine PC CurrentSince Oct 3, 2025 Accepting new patients
Ravenwood Mental Health Center Current Accepting new patients
Ravenwood Mental Health Center CurrentSince Apr 9, 2024 Accepting new patients
Inpresent Psychiatry PC CurrentSince Oct 3, 2025 Accepting new patients
Pediatric Physician Services, Inc. Past Accepting new patients

Locations

220 5th Ave
Fl 11
New York, NY 10001
Phone (212) 564-0480

442 5th Ave
#1983
New York, NY 10018
Phone (212) 564-0480

695 South St
Chardon, OH 44024
Phone (440) 286-1553

12557 Ravenwood Dr
Concord Twp, OH 44024
Phone (440) 990-6104

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ravenwoodhealth/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1881312726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BARKER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092013",
            "telephone_number": "716-883-1914",
            "fax_number": "716-883-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 MAIN ST STE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092380",
            "telephone_number": "716-883-1914",
            "fax_number": "716-883-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDO",
        "first_name": "OLENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11022960",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0035486",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406922",
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "FL",
            "license": "APRN11022960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLENA",
            "last_name": "KULYK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.