NPIMap

Organization Active NPI

Huther-Doyle Memorial Institute Inc

  • Community/Behavioral Health Agency
  • Rochester, NY
National Provider Identifier
1033520440
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HUTHER-DOYLE MEMORIAL INSTITUTE INC
Practice address
360 East Ave
Rochester, NY 14604
Phone
(585) 325-5100
Fax
(585) 325-5154
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kelly A Reed
Title
President/Ceo
Phone
(585) 325-5100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 180410827 NY
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 180410827 NY
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

360 East Ave
Rochester, NY 14604

Mailing address

360 East Ave
Rochester, NY 14604
Phone (585) 325-5100

Other identifiers 1

IdentifierTypeStateIssuer
05166665MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230418001387 NY Part B Supplier - Clinic/Group Practice 2264675784 Receives reassigned benefits from 7 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

360 East Ave
Fl Third
Rochester, NY 14604
Phone (585) 325-5011

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1033520440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14604",
            "telephone_number": "585-325-5100",
            "fax_number": "585-325-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14604",
            "telephone_number": "585-325-5100",
            "fax_number": "585-325-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTHER-DOYLE MEMORIAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "585-325-5100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "180410827",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "180410827",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05166665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.