MENTAL HEALTH ASSOCIATION OF ERIE COUNTY (NPI# 1780285296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780285296 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH ASSOCIATION OF ERIE COUNTY |
| Practice Address |
1021 Broadway St Buffalo NY 14212-1460 |
| Practice Telephone | 7168861242 |
| Mailing Telephone | 7168861242 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MELINDA CHRISTINE DUBOIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7168861242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Mental Health Advocates of Western New York | Doing Business As Name - Organization |
| Street Address |
1021 BROADWAY ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14212-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404982 | Christopher Schaeffer | Internal Medicine | 1021 Broadway St, Buffalo, NY 14212 | 2006-02-06 |
| 1952893091 | Jericho Road Ministries, Inc. | Clinic/Center | 1021 Broadway St, Buffalo, NY 14212-1460 | 2018-06-05 |
| 1003285552 | Ashley L Wyant | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2015-09-15 |
| 1336549831 | James Maska | Physical Therapist | 1021 Broadway St, Buffalo, NY 14212 | 2014-09-03 |
| 1316358609 | Kayla Jean Garcia | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2014-05-08 |
| 1962820100 | Colleen Weseloh | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2014-04-04 |
| 1730522541 | Aung Ko Ko Thant | Family Medicine | 1021 Broadway St, Buffalo, NY 14212-1460 | 2013-04-10 |
| 1689909160 | Patricia Joy Pitts | Pharmacist | 1021 Broadway St, Buffalo, NY 14212-1460 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508349283 | Lj Transportation Service | Taxi | 123 Sobieski St, Buffalo, NY 14212 | 2018-09-10 |
| 1598157463 | Safiya Haamid | Registered Nurse | 135 Loepere St, Buffalo, NY 14212 | 2015-03-02 |
| 1124345426 | Matthew Michael Peunil Jr. | Pharmacist | 975 Broadway, Buffalo, NY 14212 | 2010-04-26 |
| 1639697279 | Sara Kathleen Lis | Counselor | 1131 Broadway St, Buffalo, NY 14212 | 2017-09-05 |
| 1770022212 | Jeremy Michael Tomaino | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2017-02-16 |
| 1689033441 | Latajana Hall | Counselor | 1131 Broadway Ave, Buffalo, NY 14212 | 2016-02-22 |
| 1871934398 | Mark John Harrigan | Registered Nurse | 1384 Broadway, Buffalo, NY 14212 | 2013-07-12 |
| 1740542299 | Xika Zhao | Registered Nurse | 1500 Broadway, Buffalo, NY 14212 | 2012-06-11 |
| 1750667473 | Catherine Ann Jankowiak | Registered Nurse | 166 Halstead Ave, Sloan, NY 14212 | 2011-10-26 |
| 1215254453 | Constance Andrea Smith | Pharmacist | 975 Broadway, Buffalo, NY 14212 | 2010-04-28 |
| Find all providers in zip 14212 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1184285702 | Terence Andre Nix | Peer Specialist | 25 Delsan Ct, Buffalo, NY 14216-1212 | 2019-06-25 |
| 1225552003 | Karen Romaina Ellington I | Peer Specialist | 95 W Humboldtparkway, Buffalo, NY 14214 | 2017-08-02 |
| 1417354531 | Families' Child Advocacy Network, Inc. | Peer Specialist | 135 Delaware Ave, Suite 307, Buffalo, NY 14202-2416 | 2014-12-04 |
| 1477153906 | Veronica Thompson | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-26 |
| 1023616638 | Eilise Maeve Shaw | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-10-15 |
| 1184239816 | Mqdad Bayz | Peer Specialist | 255 Delaware Ave, Buffalo, NY 14202-2016 | 2020-09-10 |
| 1083226914 | Iris Savoy-burke | Peer Specialist | 430 Niagara St, Buffalo, NY 14201-1886 | 2020-08-21 |
| 1588286280 | Jasmine Shaddai Carroll | Peer Specialist | 1050 Niagara St, Buffalo, NY 14213-2001 | 2020-05-15 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.