SOUTHERN TIER NURSE PRACTITIONERS IN PSYCHIATRY
NPI 1225725880
Clinic/Center - Adult Mental Health in Lakewood, NY
About Southern Tier Nurse Practitioners In Psychiatry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN TIER NURSE PRACTITIONERS IN PSYCHIATRY (NPI 1225725880) is a healthcare organization registered as an adult mental health in Lakewood, New York and active in the NPI registry since April 2023. The organization lists Clinton George, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Tier Nurse Practitioners In Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Tier Nurse Practitioners In Psychiatry, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Southern Tier Nurse Practitioners In Psychiatry's NPI number?
The NPI number for Southern Tier Nurse Practitioners In Psychiatry is 1225725880. It was assigned to this organization in the NPPES registry on April 24, 2023.
Where is Southern Tier Nurse Practitioners In Psychiatry located?
Southern Tier Nurse Practitioners In Psychiatry is located at 141 Chautauqua Ave, Lakewood, NY 14750. The listed phone number is (716) 489-8850.
What is Southern Tier Nurse Practitioners In Psychiatry's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Southern Tier Nurse Practitioners In Psychiatry enrolled in Medicare?
Yes. Southern Tier Nurse Practitioners In Psychiatry is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Tier Nurse Practitioners In Psychiatry?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Southern Tier Nurse Practitioners In Psychiatry. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Tier Nurse Practitioners In Psychiatry was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southern Tier Nurse Practitioners In Psychiatry · NPI 1225725880
Adult Mental Health organization in Lakewood, New York. Organization record, active in the CMS NPPES registry since April 24, 2023.
## Identity
- **NPI:** 1225725880 (Entity type: Organization)
- **Enumerated:** April 24, 2023
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Clinton George, PROVIDER
## Practice location
- **Address:** 141 CHAUTAUQUA AVE, Lakewood, NY 14750-1278
- **Phone:** (716) 489-8850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225725880) · Data from the CMS NPPES public registry.