WOODBRIDGE NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1780168732
Clinic/Center - Adult Mental Health in Lockport, NY
About Woodbridge Nurse Practitioner In Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOODBRIDGE NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1780168732), doing business as Woodbridge Psychiatry, is a healthcare organization registered as an adult mental health in Lockport, New York and active in the NPI registry since September 2018. The organization lists Obot Obot, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Woodbridge 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 Woodbridge 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 Woodbridge Nurse Practitioner In Psychiatry PLLC's NPI number?
The NPI number for Woodbridge Nurse Practitioner In Psychiatry PLLC is 1780168732. It was assigned to this organization in the NPPES registry on September 17, 2018. The provider is doing business as Woodbridge Psychiatry.
Where is Woodbridge Nurse Practitioner In Psychiatry PLLC located?
Woodbridge Nurse Practitioner In Psychiatry PLLC is located at 680 Davison Road, Lockport, NY 14094. The listed phone number is (716) 940-8565.
What is Woodbridge 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 Woodbridge Nurse Practitioner In Psychiatry PLLC enrolled in Medicare?
Yes. Woodbridge Nurse Practitioner In Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Woodbridge Nurse Practitioner In Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Woodbridge 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 Woodbridge Nurse Practitioner In Psychiatry PLLC was last updated on September 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Woodbridge Nurse Practitioner In Psychiatry Pllc · NPI 1780168732
Adult Mental Health organization in Lockport, New York. Organization record, active in the CMS NPPES registry since September 17, 2018.
## Identity
- **NPI:** 1780168732 (Entity type: Organization)
- **Enumerated:** September 17, 2018
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Also known as:** WOODBRIDGE PSYCHIATRY (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Obot Obot, OWNER
## Practice location
- **Address:** 680 DAVISON ROAD, Lockport, NY 14094
- **Phone:** (716) 940-8565
## 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:** September 17, 2018
- **Other identifiers:** Other 5179127 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1780168732) · Data from the CMS NPPES public registry.