Healthcare Provider Details

I. General information

NPI: 1801735568
Provider Name (Legal Business Name): MEGHAN MCDONOUGH NP IN PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4561 BEACH RIDGE RD
LOCKPORT NY
14094-9638
US

IV. Provider business mailing address

4561 BEACH RIDGE RD
LOCKPORT NY
14094-9638
US

V. Phone/Fax

Practice location:
  • Phone: 716-550-1262
  • Fax: 716-559-7174
Mailing address:
  • Phone: 716-550-1262
  • Fax: 716-559-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MEGHAN MCDONOUGH
Title or Position: OWNER
Credential: PMHNP
Phone: 716-550-1262