Active NPI
Lisa Hatrick, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1972225282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 404456
- Practice address
- 330 Delaware Ave
Buffalo, NY 14202-1804 - Phone
- (716) 842-2750
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 404456 | NY | Primary |
Addresses
Primary practice location
330 Delaware Ave
Buffalo, NY 14202-1804
Mailing address
120 McKinley Pkwy
Buffalo, NY 14220-2719
Phone (716) 984-2484
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
330 Delaware Ave
Buffalo, NY 14202-1804
Phone (716) 335-7058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Services of Erie County | Current | Accepting new patients | |
| Mental Health Services-Erie County Northwest Corporation I | Current | Accepting new patients |
Locations
330 Delaware Ave
Buffalo, NY 14202
Phone (716) 335-7058
406 Vulcan St
Buffalo, NY 14207
Phone (716) 871-7092
2495 Elmwood Ave
Kenmore, NY 14217
Phone (716) 882-2127
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Buffalo, NY
- NPI 1528103082
-
- Mental Health Counselor
- Kenmore, NY
- NPI 1679698286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1972225282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MCKINLEY PKWY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202719",
"telephone_number": "716-984-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021804",
"telephone_number": "716-842-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATRICK",
"first_name": "LISA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-13",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "404456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.