National Provider Identifier

Michael John Pusateri, PSYD

Michael John Pusateri, PSYD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Lockport, NY and a listed phone number of (716) 514-9355.

NPI 1750014411Lockport, NYClinical Psychologist

Profile Overview

NPI
1750014411
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
July 08, 2022
Last Updated
July 08, 2022

Practice Location

  • 15 Elizabeth Dr
  • Lockport, NY 14094-5226

Phone: (716) 514-9355

Mailing Address

  • 6391 Erna Dr
  • Lockport, NY 14094-6521

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1750014411
Entity Type
Individual
Last Name
Pusateri
First Name
Michael
Middle Name
John
Credential
PSYD
Mailing Street Address
6391 Erna Dr
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-6521
Mailing Country
US
Mailing Phone
(585) 406-5421
Practice Street Address
15 Elizabeth Dr
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5226
Practice Country
US
Practice Phone
(716) 514-9355
Practice Fax
(716) 201-1630
Enumeration Date
July 08, 2022
Last Updated
July 08, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
July 08, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)