Camps Canandaigua LLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

License

176316 Issued in NY

Legal business name

CAMPS CANANDAIGUA LLC

Practice address

3200 West Street
500
Canandaigua, NY 14424

Phone

(585) 905-0061

Fax

(585) 412-6612

NPI assigned

Dec 17, 2015

Last updated

Apr 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn Rennie

Title

Office Manager

Phone

(585) 905-0061

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• John C Marino, MD

  • Child & Adolescent Psychiatry Physician
  • Canandaigua, NY
  • NPI 1831105899
  NPD

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1033574009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WEST STREET",
            "address_2": "500",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-905-0061",
            "fax_number": "585-412-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WEST STREET",
            "address_2": "500",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-905-0061",
            "fax_number": "585-412-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPS CANANDAIGUA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "RENNIE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-905-0061",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NY",
            "license": "176316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hull Cali, LCSW
• Ashley Campbell, OTR/L
• Brian Campbell, D.O.
• Bryon Charles Campbell
• Jo-Anne Campbell, LMSW
• Canandaigu VA Medical Center
• Canandaigua Anesthesia Associates LLP
• Canandaigua City School District
• Canandaigua Dental Health, PLLC
• Canandaigua Emergency Squad, Inc

• Behavioral Neurology & Neuropsychiatry Physician in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Behavioral Neurology & Neuropsychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.