DAIJHA FULGHAM NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1366261018
Clinic/Center - Adult Mental Health in Buffalo, NY
About Daijha Fulgham Nurse Practitioner In Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAIJHA FULGHAM NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1366261018) is a healthcare organization registered as an adult mental health in Buffalo, New York and active in the NPI registry since October 2024. The organization lists Daijha Caprice Fulgham, Pnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Daijha Fulgham Nurse Practitioner In Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Daijha Fulgham Nurse Practitioner In Psychiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Daijha Fulgham Nurse Practitioner In Psychiatry PLLC's NPI number?
The NPI number for Daijha Fulgham Nurse Practitioner In Psychiatry PLLC is 1366261018. It was assigned to this organization in the NPPES registry on October 9, 2024.
Where is Daijha Fulgham Nurse Practitioner In Psychiatry PLLC located?
Daijha Fulgham Nurse Practitioner In Psychiatry PLLC is located at 60 Hedley Pl, Buffalo, NY 14208. The listed phone number is (716) 341-9644.
What is Daijha Fulgham Nurse Practitioner In Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Daijha Fulgham Nurse Practitioner In Psychiatry PLLC enrolled in Medicare?
Yes. Daijha Fulgham Nurse Practitioner In Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Daijha Fulgham Nurse Practitioner In Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Daijha Fulgham Nurse Practitioner In Psychiatry PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Daijha Fulgham Nurse Practitioner In Psychiatry PLLC was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Daijha Fulgham Nurse Practitioner In Psychiatry Pllc · NPI 1366261018
Adult Mental Health organization in Buffalo, New York. Organization record, active in the CMS NPPES registry since October 9, 2024.
## Identity
- **NPI:** 1366261018 (Entity type: Organization)
- **Enumerated:** October 9, 2024
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Daijha Fulgham, PNP
## Practice location
- **Address:** 60 HEDLEY PL, Buffalo, NY 14208-1061
- **Phone:** (716) 341-9644
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366261018) · Data from the CMS NPPES public registry.