Western New York Med-Psych PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WESTERN NEW YORK MED-PSYCH PLLC

Practice address

476 Canisteo St
Hornell, NY 14843-9768

Phone

(607) 324-3580

Fax

(607) 324-3998

NPI assigned

Aug 10, 2006

Organization subpart

Yes

Parent organization

WESTERN NEW YORK MED-PSYCH PLLCAs reported in NPPES

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

Authorized official

Name

Sampath Neerukonda, M.D.

Title

M.D.

Phone

(607) 324-1263

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Western New York Med Psych

Locations

Practitioners 3

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

• Nancy Marie Houy, NPP/ FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bath, NY
  • NPI 1639218530
  NPD (past)
• Jennifer Wagner, NP

  • Nurse Practitioner
  • Waverly, NY
  • NPI 1508296773
  NPD (past)
• Tracey Lynn Fowler, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradford, PA
  • NPI 1518030378
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1891706743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 14TH ST",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031303",
            "telephone_number": "607-734-9539",
            "fax_number": "607-734-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 CANISTEO ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148439768",
            "telephone_number": "607-324-3580",
            "fax_number": "607-324-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK MED-PSYCH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN NEW YORK MED-PSYCH PLLC",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "NEERUKONDA",
        "authorized_official_first_name": "SAMPATH",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "607-324-1263",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01488462",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph Jay Weaver, RPH
• Jenna M Webster
• Wegmans Food Markets, Inc.
• Gerald Weinberger, MD
• Emilee R Welton, DO
• Jennifer Lynn Wetherby, NP
• David P Weyand, O.D
• John Spencer Weyand, D.C.
• Spencer W Weyand
• Robert Whelpley, M.D.

• Psychiatry Physician in Hornell, NY
• Providers in Hornell, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.