Active NPI
Rochester Psychiatric Associates
- Psychiatry Physician
- Pittsford, NY
National Provider Identifier
1013337039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 213630
- Legal business name
- ROCHESTER PSYCHIATRIC ASSOCIATES
- Practice address
- 40 Office Pkwy
Pittsford, NY 14534-1738 - Phone
- (585) 218-2022
- Fax
- (646) 706-0095
- NPI assigned
- Apr 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Mark Redondo, M.D.
- Title
- Owner
- Phone
- (585) 218-2022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 213630 | NY | Primary |
Addresses
Primary practice location
40 Office Pkwy
Pittsford, NY 14534-1738
Mailing address
40 Office Pkwy
Pittsford, NY 14534-1738
Phone (585) 218-2022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821027426 | Other | NY | NPI |
National Provider Directory
National Provider DirectoryLocations
40 Office Pkwy
Pittsford, NY 14534
Phone (585) 218-2022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397692800000",
"number": "1013337039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 OFFICE PKWY",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341738",
"telephone_number": "585-218-2022",
"fax_number": "646-706-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 OFFICE PKWY",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341738",
"telephone_number": "585-218-2022",
"fax_number": "646-706-0095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCHESTER PSYCHIATRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A",
"authorized_official_last_name": "REDONDO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-218-2022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "213630",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1821027426",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.