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: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About CHAUTAUQUA NURSE PRACTITIONER IN PSYCHIATRY PLLC

This page provides the complete NPI Profile along with additional information for Chautauqua Nurse Practitioner In Psychiatry Pllc, a provider established in Jamestown, New York operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1073403952 assigned on July 2025. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Laiken Latimer Pmhnp-bc (Psychiatric Nurse Practitioner)

NPI
1073403952 Verify this NPI
Provider Name
CHAUTAUQUA NURSE PRACTITIONER IN PSYCHIATRY PLLC
Entity Type
Organization
Location Address
779 FAIRMOUNT AVE JAMESTOWN, NY 14701
Location Phone
(716) 499-4365
Mailing Address
2854 CARPENTER PRINGLE RD ASHVILLE, NY 14710
Mailing Phone
(716) 499-4365
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2025
Last Update Date
07-03-2025
Code Navigator

A nurse practitioner (NP) like Chautauqua Nurse Practitioner In Psychiatry Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAIKEN LATIMER PMHNP-BC

Authorized Official Title
PSYCHIATRIC NURSE PRACTITIONER
Authorized Official Phone
(716) 499-4365

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073403952, enumerated as an "organization" on July 03, 2025.

The provider is located at 779 FAIRMOUNT AVE JAMESTOWN, NY 14701 and the phone number is (716) 499-4365.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.