Danielle S Ross, PMH DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

401762 Issued in NY

Practice address

33 Church St Ste 3
Fredonia, NY 14063-1761

Phone

(716) 785-6335

Fax

(716) 785-6138

NPI assigned

Mar 24, 2014

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Danielle S Kennelley Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Danielle Ross NP in Psychiatry, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, NY
  • NPI 1851970008
  Medicare reassignment NPD Authorized official
• Bestself Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, NY
  • NPI 1497967129
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1902223381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHURCH ST STE 3",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631761",
            "telephone_number": "716-785-6335",
            "fax_number": "716-785-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHURCH ST STE 3",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631761",
            "telephone_number": "716-785-6335",
            "fax_number": "716-785-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "DANIELLE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PMH DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401762",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "631965-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03938281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "KENNELLEY",
            "middle_name": "S",
            "prefix": "MS.",
            "credential": "PMH DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bruce E Roche, RPH
• Julie M Roessler
• Patrick Rogerson
• Ronald R. Johnson (Johnson LLHCSA Fredonia)
• Brittany Diana Rosenow, COTA
• Mary Rudloff, PA-C
• Russell J Dipalma DDS PC
• Bridget Anne Russell, PHD CCC-SLP
• Jillian D. Ryan, OTR
• Tracey Sakpal

• Psychiatric/Mental Health Nurse Practitioner in Fredonia, NY
• Providers in Fredonia, 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 Aug 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.