Provider Demographics
NPI: | 1760271639 |
---|---|
Name: | JOHN SCHMIDT, NURSE PRACTITIONER IN PSYCHIATRY PLLC |
Entity type: | Organization |
Organization Name: | JOHN SCHMIDT, NURSE PRACTITIONER IN PSYCHIATRY PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | NURSE PRACTITIONER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JOHN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SCHMIDT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHMNP-BC |
Authorized Official - Phone: | 716-466-5097 |
Mailing Address - Street 1: | 300 INTERNATIONAL DR STE 100 |
Mailing Address - Street 2: | |
Mailing Address - City: | WILLIAMSVILLE |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 14221-5783 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 716-458-1099 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 300 INTERNATIONAL DR STE 100 |
Practice Address - Street 2: | |
Practice Address - City: | WILLIAMSVILLE |
Practice Address - State: | NY |
Practice Address - Zip Code: | 14221-5783 |
Practice Address - Country: | US |
Practice Address - Phone: | 716-458-1099 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-05-06 |
Last Update Date: | 2025-05-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |