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DR. CHRISTOPHER FITZGERALD PH.D.
NPI 1184007510
Psychologist - Clinical Child & Adolescent in Buffalo, NY

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment
1028 MAIN ST, BUFFALO, NY 14202(716) 859-5464 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Christopher Fitzgerald Ph.d. NPPES

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

DR. CHRISTOPHER FITZGERALD PH.D. (NPI 1184007510) is an individual clinical child & adolescent provider in Buffalo, New York, licensed in New York (021196) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184007510
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. CHRISTOPHER FITZGERALDCredential: PH.D.
Location Address1028 MAIN STBuffalo, NY 14202-1102
Mailing Address1028 Main StBuffalo, NY 14202-1102 · (716) 859-5454
Phone(716) 859-5464
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 2, 2015
Last NPPES UpdateJuly 31, 2015
✔ NPI 1184007510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in NY · 021196
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
1028 MAIN ST, Buffalo, NY 14202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Christopher Fitzgerald Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507166949
PECOS Enrollment IDI20151208000294
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christopher Fitzgerald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaleida Health
0.1 mi
General Acute Care Hospital
818 ELLICOTT ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1245365196 (716) 323-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 19

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

DR. DAVID L KAYE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1028 MAIN ST, CHILDREN'S PSYCHIATRY CLINIC
BUFFALO, NY 14202
Erie County (716) 859-5454
JOEL D RUSSELL LMSW
Social Worker
1028 MAIN ST
BUFFALO, NY 14202
Erie County (716) 859-5460
RICARDO ERNESTO ROMERO M.D.,
Student in an Organized Health Care Education/Training Program
1028 MAIN ST
BUFFALO, NY 14202
Erie County (716) 859-5462
DANIELLA NORENA FLORES PSYD
Psychologist
1028 MAIN ST
BUFFALO, NY 14202
Erie County (716) 349-7624
LEAH CATHERINE SHANAHAN LMSW
Social Worker (Clinical)
1028 MAIN ST
BUFFALO, NY 14202
Erie County (716) 859-5454
DANNI ROSE HANNNON LMSW
Social Worker
1028 MAIN ST
BUFFALO, NY 14202
Erie County (716) 338-8363
DR. ARIEL MARIE JERARD LESS PSYD
Psychologist (Clinical)
1028 MAIN ST
BUFFALO, NY 14202
Erie County (716) 859-5436
MRS. KELLY HUMMEL MA, LCSW
Social Worker
1028 MAIN ST
BUFFALO, NY 14202
Erie County (716) 589-5459

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 Christopher Fitzgerald's NPI number?

The NPI number for Christopher Fitzgerald is 1184007510. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Christopher Fitzgerald located?

Christopher Fitzgerald practices at 1028 Main St, Buffalo, NY 14202. The listed phone number is (716) 859-5464.

What is Christopher Fitzgerald's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Christopher Fitzgerald enrolled in Medicare?

Yes. Christopher Fitzgerald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Christopher Fitzgerald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christopher Fitzgerald reassigns Medicare benefits to Kaleida Health (Buffalo, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christopher Fitzgerald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christopher Fitzgerald was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.