Organization Active NPI

Rochester Psychiatric Associates

  • Psychiatry Physician
  • Pittsford, NY
National Provider Identifier
1013337039
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
213630 Issued in NY
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

Updated by the provider on Apr 17, 2014

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1821027426OtherNYNPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.