Active NPI
Susan Holmes McDaniel, PHD
- Psychologist
- Rochester, NY
National Provider Identifier
1003874207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6699
- Practice address
- 777 S Clinton Ave
Rochester, NY 14620-1401 - Phone
- (585) 279-4820
- Fax
- (585) 442-8319
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6699 | NY | Primary |
| Psychologist | 103T00000X | 0006699 | NY | |
| Clinical Psychologist | 103TC0700X | 0006699 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 0006699 | NY | |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
777 S Clinton Ave
Rochester, NY 14620-1401
Mailing address
777 S Clinton Ave
Rochester, NY 14620-1401
Phone (585) 279-4820
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010006699 | Other | NY | BLUE CHOICE |
| 711384 | Other | NY | AETNA |
| MD431J | Other | NY | PREFERRED CARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smcdaniel4642@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | smcdaniel4642@direct.urmc.rochester.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6699 | NY | MD | Psychologist |
| 0006699 | NY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Hospital of Rochester | Current | Accepting new patients |
Locations
470 Collins St
Avon, NY 14414
Phone (585) 226-2640
777 Clinton Ave S
Rochester, NY 14620
Phone (585) 279-4790
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003874207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 S CLINTON AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146201401",
"telephone_number": "585-279-4820",
"fax_number": "585-442-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 S CLINTON AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146201401",
"telephone_number": "585-279-4820",
"fax_number": "585-442-8319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "SUSAN",
"middle_name": "HOLMES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "6699",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0006699",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0006699",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "0006699",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010006699",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "711384",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "MD431J",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smcdaniel4642@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smcdaniel4642@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.