CHAUTAUQUA NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1073403952
Nurse Practitioner - Psychiatric/Mental Health in Jamestown, NY

Active since July 03, 2025
779 FAIRMOUNT AVE, JAMESTOWN, NY 14701(716) 499-4365 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chautauqua Nurse Practitioner In Psychiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAUTAUQUA NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1073403952) is a healthcare organization registered as a psychiatric/mental health in Jamestown, New York and active in the NPI registry since July 2025. The organization lists Laiken Latimer, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1073403952
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCHAUTAUQUA NURSE PRACTITIONER IN PSYCHIATRY PLLC
Location Address779 FAIRMOUNT AVEJamestown, NY 14701-2608
Mailing Address2854 Carpenter Pringle RdAshville, NY 14710-9763 · (716) 499-4365
Organization SubpartNo
Authorized OfficialLaiken LatimerPsychiatric Nurse Practitioner · (716) 499-4365
Enumeration DateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
NPI 1073403952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
779 FAIRMOUNT AVE, Jamestown, NY 14701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Specialist
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Social Worker (Clinical)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Optometrist
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Clinic/Center (Radiology)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Nurse Practitioner (Psychiatric/Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Counselor (Mental Health)
779 FAIRMOUNT AVE
JAMESTOWN, NY 14701
Radiology (Diagnostic Radiology)
779 FAIRMOUNT AVE, 4TH FLOOR, SUITE 401
JAMESTOWN, NY 14701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chautauqua Nurse Practitioner In Psychiatry PLLC's NPI number?

The NPI number for Chautauqua Nurse Practitioner In Psychiatry PLLC is 1073403952. It was assigned to this organization in the NPPES registry on July 3, 2025.

Where is Chautauqua Nurse Practitioner In Psychiatry PLLC located?

Chautauqua Nurse Practitioner In Psychiatry PLLC is located at 779 Fairmount Ave, Jamestown, NY 14701. The listed phone number is (716) 499-4365.

What is Chautauqua Nurse Practitioner In Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Chautauqua Nurse Practitioner In Psychiatry PLLC was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.