GREAT LAKES NP OF PSYCHIATRY, PLLC
NPI 1790273308
Nurse Practitioner - Psychiatric/Mental Health in West Seneca, NY
About Great Lakes Np Of Psychiatry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES NP OF PSYCHIATRY, PLLC (NPI 1790273308) is a healthcare organization registered as a psychiatric/mental health in West Seneca, New York and active in the NPI registry since April 2018. The organization lists Lorraine A. Lopez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Great Lakes Np Of 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 Great Lakes Np Of 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 Great Lakes Np Of Psychiatry, PLLC's NPI number?
The NPI number for Great Lakes Np Of Psychiatry, PLLC is 1790273308. It was assigned to this organization in the NPPES registry on April 30, 2018.
Where is Great Lakes Np Of Psychiatry, PLLC located?
Great Lakes Np Of Psychiatry, PLLC is located at 3802 Seneca St, West Seneca, NY 14224. The listed phone number is (716) 677-5418.
What is Great Lakes Np Of Psychiatry, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Great Lakes Np Of Psychiatry, PLLC enrolled in Medicare?
Yes. Great Lakes Np Of Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Np Of Psychiatry, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Great Lakes Np Of 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 Great Lakes Np Of Psychiatry, PLLC was last updated on April 30, 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.
# Great Lakes Np Of Psychiatry, Pllc · NPI 1790273308
Psychiatric/Mental Health organization in West Seneca, New York. Organization record, active in the CMS NPPES registry since April 30, 2018.
## Identity
- **NPI:** 1790273308 (Entity type: Organization)
- **Enumerated:** April 30, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Lorraine Lopez, OWNER
## Practice location
- **Address:** 3802 SENECA ST, West Seneca, NY 14224-3433
- **Phone:** (716) 677-5418
## 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:** April 30, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1790273308) · Data from the CMS NPPES public registry.