ILLUMINATE NP PSYCHIATRY
NPI 1871184424
Nurse Practitioner - Psychiatric/Mental Health in Orchard Park, NY

Active since January 27, 2021
3595 EGGERT RD, ORCHARD PARK, NY 14127(716) 903-6036(716) 463-2225 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2025, Mar 6, 2024, Apr 8, 2021 and 1 more (4 updates tracked since 2021).

About Illuminate Np Psychiatry NPPES

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

ILLUMINATE NP PSYCHIATRY (NPI 1871184424) is a healthcare organization registered as a psychiatric/mental health in Orchard Park, New York and active in the NPI registry since January 2021. The organization lists Amy Kotarski, Owner, as its authorized official.

NPPES Registry Identity

NPI1871184424
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameILLUMINATE NP PSYCHIATRY
Location Address3595 EGGERT RDOrchard Park, NY 14127-1929
Mailing Address3595 Eggert RdOrchard Park, NY 14127-1929 · (716) 903-6036 · Fax (716) 463-2225
Fax(716) 463-2225
Organization SubpartNo
Authorized OfficialAmy KotarskiOwner · (716) 903-6036
Enumeration DateJanuary 27, 2021
Last NPPES UpdateSeptember 8, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1871184424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X

Other Names 1

Other NameIlluminate Np Psychiatry, Pllc

Other Identifiers 1

Medicaid05703237NY

Other Providers at the Same Location NPPES

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

Nurse Practitioner
3595 EGGERT RD
ORCHARD PARK, NY 14127

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 Illuminate Np Psychiatry's NPI number?

The NPI number for Illuminate Np Psychiatry is 1871184424. It was assigned to this organization in the NPPES registry on January 27, 2021. The provider is also known as Illuminate NP Psychiatry, PLLC.

Where is Illuminate Np Psychiatry located?

Illuminate Np Psychiatry is located at 3595 Eggert Rd, Orchard Park, NY 14127. The listed phone number is (716) 903-6036.

What is Illuminate Np Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Illuminate Np Psychiatry was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.