| University Of Rochester Department Of Psychiatry Clinical Group | |
|
300 Crittenden Blvd Rochester NY 14642-0001 | |
| (585) 275-6733 | |
| Not Available |
| Full Name | University Of Rochester Department Of Psychiatry Clinical Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 300 Crittenden Blvd, Rochester, New York |
| Authorized Official Name and Position | Jill M Hetterich (SENIOR DIRECTOR OF FINANCE, URMFG) |
| Authorized Official Contact | 5857564008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Rochester Department Of Psychiatry Clinical Group 601 Elmwood Ave Box Psych Rochester NY 14642-0001 Ph: () - | University Of Rochester Department Of Psychiatry Clinical Group 300 Crittenden Blvd Rochester NY 14642-0001 Ph: (585) 275-6733 |
| NPI Number | 1326088808 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 3173420429 |
|---|---|
| Medicare Enrollment ID | O20031216000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326088808 | NPI | - | NPPES |
| 02995182 | Medicaid | NY |
| Provider Name | George S Nasra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336146182 PECOS PAC ID: 5890693873 Enrollment ID: I20031229000773 |
| Provider Name | Alexandra Fotiou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801804505 PECOS PAC ID: 7719885540 Enrollment ID: I20031230000582 |
| Provider Name | Michael A Scharf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942216056 PECOS PAC ID: 5698678894 Enrollment ID: I20040127000675 |
| Provider Name | Andrea Jca Sandoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447464854 PECOS PAC ID: 7618862749 Enrollment ID: I20040218000401 |
| Provider Name | Sue K Digiovanni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417985961 PECOS PAC ID: 7618964263 Enrollment ID: I20040427000865 |
| Provider Name | Asli Saba Abaci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538100961 PECOS PAC ID: 8426021049 Enrollment ID: I20040812001420 |
| Provider Name | Shahida S Rehmani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508966839 PECOS PAC ID: 5193784676 Enrollment ID: I20041008001202 |
| Provider Name | Mary E Andolsek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235166232 PECOS PAC ID: 4082672480 Enrollment ID: I20050104000485 |
| Provider Name | Gary J Horwitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598753063 PECOS PAC ID: 7214981273 Enrollment ID: I20050311000660 |
| Provider Name | Khalid Hubeishy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306930391 PECOS PAC ID: 1052350923 Enrollment ID: I20050429000365 |
| Provider Name | Prakash P Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376595223 PECOS PAC ID: 4385687383 Enrollment ID: I20050609000643 |
| Provider Name | Syed I Mustafa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255349932 PECOS PAC ID: 8527001551 Enrollment ID: I20050609000867 |
| Provider Name | Geoffrey Colin Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386673622 PECOS PAC ID: 0143264945 Enrollment ID: I20050613001104 |
| Provider Name | Lisa M Slimmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467410399 PECOS PAC ID: 8628013364 Enrollment ID: I20050623000386 |
| Provider Name | Kevin A Coffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457388902 PECOS PAC ID: 3375589997 Enrollment ID: I20050706000909 |
| Provider Name | Jeremy D Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629011952 PECOS PAC ID: 4082642327 Enrollment ID: I20050728000896 |
| Provider Name | Adrienne Diane Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225176803 PECOS PAC ID: 6002848215 Enrollment ID: I20050908000925 |
| Provider Name | Telva E Olivares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912943416 PECOS PAC ID: 1557383643 Enrollment ID: I20060104000196 |
| Provider Name | Elizabeth J Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588689343 PECOS PAC ID: 1951317817 Enrollment ID: I20060301000606 |
| Provider Name | Michael L Christie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306844691 PECOS PAC ID: 2163438839 Enrollment ID: I20060306000068 |
| Provider Name | Deborah R Orloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558307058 PECOS PAC ID: 5799783734 Enrollment ID: I20061129000297 |
| Provider Name | Antoinette M Jakobi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710911730 PECOS PAC ID: 0840298881 Enrollment ID: I20061129000342 |
| Provider Name | Manuel A Enecilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811928088 PECOS PAC ID: 2961504659 Enrollment ID: I20070227000512 |
| Provider Name | Jeffrey M Lyness |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912933052 PECOS PAC ID: 9133224918 Enrollment ID: I20070424000263 |
| Provider Name | Gail A Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700908811 PECOS PAC ID: 3375634629 Enrollment ID: I20070822000353 |
| Provider Name | Roma Fortuna Dwulit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477565315 PECOS PAC ID: 8224117031 Enrollment ID: I20080506000067 |
| Provider Name | Aurelian N Niculescu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598790131 PECOS PAC ID: 5890874382 Enrollment ID: I20080508000780 |
| Provider Name | Mark W Nickels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417990748 PECOS PAC ID: 8325127749 Enrollment ID: I20080509000170 |
| Provider Name | Diane S Morse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770552341 PECOS PAC ID: 1850465303 Enrollment ID: I20080801000327 |
| Provider Name | Robert L Weisman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710914965 PECOS PAC ID: 1850452079 Enrollment ID: I20081206000010 |
| Provider Name | Amy L Garrison-lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932220985 PECOS PAC ID: 3779634241 Enrollment ID: I20090623000311 |
| Provider Name | Farah Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083820104 PECOS PAC ID: 3375697451 Enrollment ID: I20090825000278 |
| Provider Name | Marc T Swogger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598994535 PECOS PAC ID: 1456490895 Enrollment ID: I20091125000138 |
| Provider Name | Amanda M Ohearn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629013990 PECOS PAC ID: 9537200910 Enrollment ID: I20100107000240 |
| Provider Name | Katherine P Duffy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740216357 PECOS PAC ID: 2769526524 Enrollment ID: I20100217000083 |
| Provider Name | Hanna Z Mieszczanska |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023059417 PECOS PAC ID: 5395870448 Enrollment ID: I20100316000056 |
| Provider Name | Patricia A Mangarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275797524 PECOS PAC ID: 4385770833 Enrollment ID: I20100413000005 |
| Provider Name | Joann Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518976695 PECOS PAC ID: 6103953583 Enrollment ID: I20100415000668 |
| Provider Name | Linda J Alpert Gillis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023045895 PECOS PAC ID: 3678600939 Enrollment ID: I20100420000087 |
| Provider Name | Gloria J Baciewicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700829504 PECOS PAC ID: 7214068113 Enrollment ID: I20100621000644 |
| Provider Name | Anton P Porsteinsson |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1740225028 PECOS PAC ID: 7810189180 Enrollment ID: I20101005000436 |
| Provider Name | Asad Ullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275563470 PECOS PAC ID: 1254524374 Enrollment ID: I20101021001006 |
| Provider Name | Barbara A Olesko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376585901 PECOS PAC ID: 3375730757 Enrollment ID: I20101210000607 |
| Provider Name | Jennifer H Richman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861404857 PECOS PAC ID: 9931396322 Enrollment ID: I20101210000705 |
| Provider Name | Yeates Conwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407891583 PECOS PAC ID: 9436347242 Enrollment ID: I20101221000553 |
| Provider Name | Samuel J Huber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972645026 PECOS PAC ID: 3173711736 Enrollment ID: I20101223000071 |
| Provider Name | Saisubhodhini S Reddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174567127 PECOS PAC ID: 3375731946 Enrollment ID: I20101223000178 |
| Provider Name | Deborah A King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205865805 PECOS PAC ID: 1557540523 Enrollment ID: I20110122000063 |
| Provider Name | Lisa D Corigliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841209335 PECOS PAC ID: 2264611193 Enrollment ID: I20110125000667 |
| Provider Name | William H Watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235165069 PECOS PAC ID: 3476733858 Enrollment ID: I20110203000058 |
| Provider Name | Anthony R. Pisani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437113412 PECOS PAC ID: 0648459875 Enrollment ID: I20110301000007 |
| Provider Name | Debra S Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265690457 PECOS PAC ID: 3779766308 Enrollment ID: I20110321000118 |
| Provider Name | Marsha N Wittink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124054630 PECOS PAC ID: 6608905385 Enrollment ID: I20110426000319 |
| Provider Name | Laura H Cardella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194887802 PECOS PAC ID: 2062698335 Enrollment ID: I20110523000003 |
| Provider Name | Rae B Insalaco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366563363 PECOS PAC ID: 8123206612 Enrollment ID: I20110705000409 |
| Provider Name | Mani A Kurien |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396943809 PECOS PAC ID: 3476721358 Enrollment ID: I20110720000168 |
| Provider Name | Joseph S Lamberti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407891765 PECOS PAC ID: 8527237387 Enrollment ID: I20110811000574 |
| Provider Name | Michelle S Swanger-gagne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982982690 PECOS PAC ID: 5395915797 Enrollment ID: I20110823000014 |
| Provider Name | Stella O King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528032646 PECOS PAC ID: 0941394415 Enrollment ID: I20110825000549 |
| Provider Name | Andrew L Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538392154 PECOS PAC ID: 5991976557 Enrollment ID: I20110913000109 |
| Provider Name | Sasha D Massachi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336326180 PECOS PAC ID: 9739339672 Enrollment ID: I20121030000323 |
| Provider Name | Lauren N Decaporale-ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497187736 PECOS PAC ID: 1850526245 Enrollment ID: I20131018001527 |
| Provider Name | Shannon M Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255659637 PECOS PAC ID: 8628291341 Enrollment ID: I20140528001255 |
| Provider Name | Andrew Mietz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144545658 PECOS PAC ID: 6507085263 Enrollment ID: I20140912000307 |
| Provider Name | Yilmaz Yildirim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669665998 PECOS PAC ID: 3274671102 Enrollment ID: I20141212000841 |
| Provider Name | Autumn M Gallegos Greenwich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376891754 PECOS PAC ID: 6800110305 Enrollment ID: I20150109000746 |
| Provider Name | Renee Scanlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417271206 PECOS PAC ID: 2466778543 Enrollment ID: I20150309000603 |
| Provider Name | Annabel S Fu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386943702 PECOS PAC ID: 9830404839 Enrollment ID: I20150820010222 |
| Provider Name | Kathleen T. Baynes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922323427 PECOS PAC ID: 8022323948 Enrollment ID: I20150820011079 |
| Provider Name | David R. Szulgit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255759809 PECOS PAC ID: 7416263157 Enrollment ID: I20150826001698 |
| Provider Name | Beth G Hoh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306077235 PECOS PAC ID: 4486961166 Enrollment ID: I20150911002303 |
| Provider Name | Jessica Anne Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245467174 PECOS PAC ID: 8628388709 Enrollment ID: I20151102000233 |
| Provider Name | Daniel C. Mcfarland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598911547 PECOS PAC ID: 5799095774 Enrollment ID: I20151103001315 |
| Provider Name | Alma Guerra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194040600 PECOS PAC ID: 1759684558 Enrollment ID: I20160128002166 |
| Provider Name | Cathy J. Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816963 PECOS PAC ID: 0648400499 Enrollment ID: I20160229002110 |
| Provider Name | Jennifer L Farah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194180950 PECOS PAC ID: 5092014464 Enrollment ID: I20160506000521 |
| Provider Name | Gregory W Sherman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619276045 PECOS PAC ID: 3173818838 Enrollment ID: I20160822000086 |
| Provider Name | Samantha E Gaetano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740612936 PECOS PAC ID: 4981837374 Enrollment ID: I20160927002159 |
| Provider Name | Katie M Rauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922436765 PECOS PAC ID: 2860772811 Enrollment ID: I20161208000552 |
| Provider Name | Nancy Baehr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740368075 PECOS PAC ID: 8426330176 Enrollment ID: I20170113000241 |
| Provider Name | Catherine D Tredwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811340110 PECOS PAC ID: 6406138601 Enrollment ID: I20170124001102 |
| Provider Name | Kelly A Boldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700894490 PECOS PAC ID: 0941439004 Enrollment ID: I20170306000354 |
| Provider Name | Kristen Holderle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356420939 PECOS PAC ID: 7416231477 Enrollment ID: I20170313000406 |
| Provider Name | Rachael Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417256868 PECOS PAC ID: 8527358506 Enrollment ID: I20170714000884 |
| Provider Name | Adam C Simning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447592415 PECOS PAC ID: 8022308949 Enrollment ID: I20170803002512 |
| Provider Name | Mongkae Siripornsawan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922237221 PECOS PAC ID: 9537430319 Enrollment ID: I20170814000948 |
| Provider Name | Bryan J Burroughs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457784647 PECOS PAC ID: 7517230006 Enrollment ID: I20170905002470 |
| Provider Name | Aspen M. Ainsworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669714630 PECOS PAC ID: 6305136888 Enrollment ID: I20170911000284 |
| Provider Name | Donna A Kreher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235573494 PECOS PAC ID: 7315210408 Enrollment ID: I20170912002620 |
| Provider Name | Joshua J Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093080483 PECOS PAC ID: 5092005520 Enrollment ID: I20171101000622 |
| Provider Name | Jessica Marie Heuston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336544568 PECOS PAC ID: 7719243039 Enrollment ID: I20171102000280 |
| Provider Name | Andrea M Garroway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811330483 PECOS PAC ID: 5597022780 Enrollment ID: I20171124000162 |
| Provider Name | Mark A Oldham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841420726 PECOS PAC ID: 1052537701 Enrollment ID: I20171127001901 |
| Provider Name | Hochang B Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649212754 PECOS PAC ID: 8921090986 Enrollment ID: I20180105000906 |
| Provider Name | Robert F Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164920617 PECOS PAC ID: 4688938368 Enrollment ID: I20180504000407 |
| Provider Name | Charles Jiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023404126 PECOS PAC ID: 1759679715 Enrollment ID: I20180514001570 |
| Provider Name | Jeffrey M Iler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144563677 PECOS PAC ID: 1153629654 Enrollment ID: I20180706001776 |
| Provider Name | Tara Elizabeth Holter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740522713 PECOS PAC ID: 4082905310 Enrollment ID: I20180709000675 |
| Provider Name | Ernestine I Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205112836 PECOS PAC ID: 3274765847 Enrollment ID: I20180904000407 |
| Provider Name | Keisha L Bell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306221171 PECOS PAC ID: 7810249687 Enrollment ID: I20181004002734 |
| Provider Name | Carnel Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336523257 PECOS PAC ID: 0345504734 Enrollment ID: I20190116000516 |
| Provider Name | Sandra B Mitzner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093844334 PECOS PAC ID: 5092053744 Enrollment ID: I20190205002508 |
| Provider Name | Mary E Burdick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831203504 PECOS PAC ID: 2567701790 Enrollment ID: I20190305001907 |
| Provider Name | Leslie A Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568403715 PECOS PAC ID: 2264530542 Enrollment ID: I20190508001497 |
| Provider Name | Scott M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790795839 PECOS PAC ID: 8527290055 Enrollment ID: I20190508002320 |
| Provider Name | Lorraine E Schild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417041427 PECOS PAC ID: 4688893175 Enrollment ID: I20190509000291 |
| Provider Name | Kimberly C Trombly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780849521 PECOS PAC ID: 5092037333 Enrollment ID: I20190517001818 |
| Provider Name | Matthew D Preslar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871875526 PECOS PAC ID: 1355685595 Enrollment ID: I20190521001409 |
| Provider Name | Katherine C Grams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316494776 PECOS PAC ID: 1557640190 Enrollment ID: I20190604001117 |
| Provider Name | Brittany E Mott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982090999 PECOS PAC ID: 4880944792 Enrollment ID: I20190715001662 |
| Provider Name | Laura M Iafrati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750728796 PECOS PAC ID: 4981828191 Enrollment ID: I20190808002703 |
| Provider Name | Kevin P Brazill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003132788 PECOS PAC ID: 3072751536 Enrollment ID: I20190813001761 |
| Provider Name | Henry R Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467013433 PECOS PAC ID: 7810224854 Enrollment ID: I20190813002982 |
| Provider Name | Paul Geha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578726501 PECOS PAC ID: 2163648270 Enrollment ID: I20190814002660 |
| Provider Name | Valerie L Kutzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558929331 PECOS PAC ID: 1355679812 Enrollment ID: I20190821002209 |
| Provider Name | Katlyn D Rice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568902682 PECOS PAC ID: 6608105895 Enrollment ID: I20190913000927 |
| Provider Name | Megan M Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923599 PECOS PAC ID: 2365771466 Enrollment ID: I20190916002564 |
| Provider Name | Keighley G Loveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063066272 PECOS PAC ID: 6103156898 Enrollment ID: I20190923002626 |
| Provider Name | Erik M Bobeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619327541 PECOS PAC ID: 0840584777 Enrollment ID: I20191001002549 |
| Provider Name | Alexa A Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639536238 PECOS PAC ID: 7719319466 Enrollment ID: I20191118002159 |
| Provider Name | Beth L Heaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801236039 PECOS PAC ID: 6608183983 Enrollment ID: I20191125002302 |
| Provider Name | Neha Pawar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558701425 PECOS PAC ID: 8022368075 Enrollment ID: I20200121001423 |
| Provider Name | Conrad D Gleber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235662065 PECOS PAC ID: 9133463425 Enrollment ID: I20200610002829 |
| Provider Name | Joy J Choi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043605462 PECOS PAC ID: 1658625157 Enrollment ID: I20200812002234 |
| Provider Name | Maura E Tappen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740676766 PECOS PAC ID: 3577813401 Enrollment ID: I20200918001945 |
| Provider Name | Samantha Kamp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396107934 PECOS PAC ID: 1759631757 Enrollment ID: I20201009000453 |
| Provider Name | Ellenge Dillete Denton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740899467 PECOS PAC ID: 9335559145 Enrollment ID: I20201106000954 |
| Provider Name | Jalisa J Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730702077 PECOS PAC ID: 0840601803 Enrollment ID: I20201123001932 |
| Provider Name | Elizabeth Pope Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235629429 PECOS PAC ID: 4284987686 Enrollment ID: I20210512000074 |
| Provider Name | Lalita Nagini Movva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396273223 PECOS PAC ID: 6709120959 Enrollment ID: I20210512000125 |
| Provider Name | Kirk Andrew Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942456918 PECOS PAC ID: 6800062043 Enrollment ID: I20210518000184 |
| Provider Name | Elaine Patricia Rigney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477041812 PECOS PAC ID: 6103179585 Enrollment ID: I20210520000060 |
| Provider Name | William Robert Small |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356872790 PECOS PAC ID: 8921358987 Enrollment ID: I20210608003408 |
| Provider Name | Lisham Ashrafioun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346770179 PECOS PAC ID: 7517367154 Enrollment ID: I20210617003081 |
| Provider Name | Adrianna Hitchins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346625753 PECOS PAC ID: 0648565093 Enrollment ID: I20210621001107 |
| Provider Name | Kathleen Noe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801489356 PECOS PAC ID: 7214338904 Enrollment ID: I20210701002735 |
| Provider Name | Shavonne Julien-huang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417488842 PECOS PAC ID: 5991055899 Enrollment ID: I20210816002386 |
| Provider Name | Shannon Elizabeth Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194304055 PECOS PAC ID: 9032517362 Enrollment ID: I20211018000826 |
| Provider Name | Katlin Joy Bussy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740950013 PECOS PAC ID: 6204225923 Enrollment ID: I20211117002473 |
| Provider Name | Leisha Jane Cuddihy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700173978 PECOS PAC ID: 4183891088 Enrollment ID: I20220328002541 |
| Provider Name | Brian Thomas Swart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457003816 PECOS PAC ID: 9739576737 Enrollment ID: I20220421000777 |
| Provider Name | Oner Gurkan Gonen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528598216 PECOS PAC ID: 3870980352 Enrollment ID: I20220502001860 |
| Provider Name | Naila N Karim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912420886 PECOS PAC ID: 8123405297 Enrollment ID: I20220510002272 |
| Provider Name | Tyler James Fleming |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568956811 PECOS PAC ID: 5597143214 Enrollment ID: I20220608000348 |
| Provider Name | Shawnalle Guadalupe Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699372375 PECOS PAC ID: 9234518804 Enrollment ID: I20220628002389 |
| Provider Name | Fatima Rumesa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487140463 PECOS PAC ID: 8729326731 Enrollment ID: I20220706000945 |
| Provider Name | Annalyn M Gibson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699137232 PECOS PAC ID: 8123378106 Enrollment ID: I20220815001500 |
| Provider Name | Anna Pettway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144650490 PECOS PAC ID: 0345623385 Enrollment ID: I20220824000306 |
| Provider Name | Robel Kamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457845448 PECOS PAC ID: 7911242029 Enrollment ID: I20220830002949 |
| Provider Name | Emily S Holberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184276008 PECOS PAC ID: 5294164240 Enrollment ID: I20220905000289 |
| Provider Name | Viki K Katsetos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740642388 PECOS PAC ID: 2567712409 Enrollment ID: I20220916002300 |
| Provider Name | Jeremy Maclaren Kelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548825078 PECOS PAC ID: 9133596448 Enrollment ID: I20221028002737 |
| Provider Name | Stacey M Perrotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174258966 PECOS PAC ID: 2365811528 Enrollment ID: I20221209000507 |
| Provider Name | Mark S Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386767432 PECOS PAC ID: 4587623061 Enrollment ID: I20221214002754 |
| Provider Name | Amy Marie Scalzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013559087 PECOS PAC ID: 7113397738 Enrollment ID: I20221222002221 |
| Provider Name | Irina R Statnikova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760987010 PECOS PAC ID: 5395095350 Enrollment ID: I20221229002309 |
| Provider Name | Segundo Sergio Robert-ibarra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871718130 PECOS PAC ID: 7416246699 Enrollment ID: I20230124002751 |
| Provider Name | James A Budu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730695917 PECOS PAC ID: 7517322837 Enrollment ID: I20230420000878 |
| Provider Name | Jessica Marie Keith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306412382 PECOS PAC ID: 7012372675 Enrollment ID: I20230503002875 |
| Provider Name | Paige E Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710541503 PECOS PAC ID: 4789913419 Enrollment ID: I20230524002018 |
| Provider Name | Douglas Joel Alexander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639673452 PECOS PAC ID: 4385996511 Enrollment ID: I20230524003353 |
| Provider Name | Virginia Ramos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871098665 PECOS PAC ID: 1850641812 Enrollment ID: I20230531002530 |
| Provider Name | Kyle Rodenbach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184088544 PECOS PAC ID: 9234552225 Enrollment ID: I20230614001648 |
| Provider Name | Nathaniel W Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124715222 PECOS PAC ID: 6204294614 Enrollment ID: I20230616000875 |
| Provider Name | James L Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508429374 PECOS PAC ID: 4284961574 Enrollment ID: I20230705002025 |
| Provider Name | Robert A Herbstsomer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528622305 PECOS PAC ID: 9537498274 Enrollment ID: I20230712003926 |
| Provider Name | Margaret R Puelle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073019378 PECOS PAC ID: 0840651790 Enrollment ID: I20230725003413 |
| Provider Name | Kelly Anne Nye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588231088 PECOS PAC ID: 1951764901 Enrollment ID: I20230824000861 |
| Provider Name | Jennifer Boor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790937373 PECOS PAC ID: 0345695359 Enrollment ID: I20231011002850 |
| Provider Name | Leah Elizabeth Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891438958 PECOS PAC ID: 7315392016 Enrollment ID: I20231120000879 |
| Provider Name | Rebecca Claire Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922455831 PECOS PAC ID: 4486002086 Enrollment ID: I20231120003309 |
| Provider Name | Jennifer Okwerekwu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336502616 PECOS PAC ID: 7517396534 Enrollment ID: I20231128001162 |
| Provider Name | Carol Ann Podgorski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730397779 PECOS PAC ID: 1759733413 Enrollment ID: I20240118000261 |
| Provider Name | Tziporah Rosenberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851508576 PECOS PAC ID: 2062865645 Enrollment ID: I20240131000341 |
| Provider Name | Johanna Blythe Reske |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750948931 PECOS PAC ID: 2769888247 Enrollment ID: I20240208000621 |
| Provider Name | Jessica Goodman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407261779 PECOS PAC ID: 6406291954 Enrollment ID: I20240223003645 |
| Provider Name | Caroline J Easton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598162463 PECOS PAC ID: 7315385994 Enrollment ID: I20240402000631 |
| Provider Name | Yehonatan Borenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386063089 PECOS PAC ID: 2769762178 Enrollment ID: I20240418001731 |
| Provider Name | Erin Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497420780 PECOS PAC ID: 3577903160 Enrollment ID: I20240430001448 |
Khadijah Tillman, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Chelmsford Rd, Rochester, NY 14618 Phone: 585-713-2071 Fax: 585-461-5503 | |
Sleep Insights Management Services,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Hagen Dr, Suite 120, Rochester, NY 14625 Phone: 585-385-6070 | |
Linden Oaks Sexual Abuse Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Linden Oaks Ste 200, Rochester, NY 14625 Phone: 585-586-6840 Fax: 585-586-7951 | |
Gaskill Counseling Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Weiland Rd Ste 200, Rochester, NY 14626 Phone: 585-510-6110 Fax: 585-684-8362 | |
Strong Tower Mental Health Counseling Of New York, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Northaven Ter, Rochester, NY 14621 Phone: 631-835-5864 | |
Wingspan Counseling Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 95 Allens Creek Rd Ste 9, Rochester, NY 14618 Phone: 585-568-7864 Fax: 855-523-1669 | |
Naomi Smith Mental Health Counselor Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Flower Dale Dr, Rochester, NY 14626 Phone: 585-204-0806 |