Individual provider Active NPI

Faye E Taber, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1932391851
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401584 Issued in NY
Practice address
4955 N Bailey Ave Ste 214
Buffalo, NY 14226-1206
Phone
(716) 982-1548
Fax
(208) 684-7112
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 401584 NY Primary

Addresses

Primary practice location

4955 N Bailey Ave Ste 214
Buffalo, NY 14226-1206

Mailing address

4955 N Bailey Ave Ste 214
Buffalo, NY 14226-1206
Phone (716) 320-0629

Other identifiers 1

IdentifierTypeStateIssuer
03625005MedicaidNY

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
I20131114001226 NY Practitioner - Nurse Practitioner 7517193808 Reassigns benefits to 1 organization
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brylin Hospitals, Inc. CurrentSince Apr 16, 2014 Accepting new patients
Keller Psychological Services, P.C. CurrentSince Nov 1, 2023 Accepting new patients
Brylin Hospitals, Inc. CurrentSince Apr 16, 2014 Accepting new patients
Angela M Magill NP-Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients
Junaid Hashim MD Past Accepting new patients

Locations

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

4955 N Bailey Ave
Ste 214
Buffalo, NY 14226
Phone (716) 650-0287

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1932391851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 N BAILEY AVE STE 214",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142261206",
            "telephone_number": "716-320-0629",
            "fax_number": "208-684-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 N BAILEY AVE STE 214",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142261206",
            "telephone_number": "716-982-1548",
            "fax_number": "208-684-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABER",
        "first_name": "FAYE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03625005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.