Ahmy Lynn Brock, LMFT
Individual provider Active NPI Marriage & Family Therapist · Jamesville, NY
NPI 1063735124 · NPPES record last updated Jun 7, 2026
Key facts
- NPI
- 1063735124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 000247-1 (NY)
- Practice address
- 2997 Sweet Rd
Jamesville, NY 13078-9697 - Phone
- (315) 416-7572
- Fax
- (315) 504-1046
- NPI assigned
- Mar 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000247 | NY | MD | Psychoanalyst |
| 000247-1 | NY | MD | Marriage & Family Therapist |
Interoperability endpoints
- solid_ground_wellness@hiemail.healtheconnections.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000247-1 | NY | Yes |
Addresses
Primary practice location
2997 Sweet Rd
Jamesville, NY 13078-9697
Mailing address
2997 Sweet Rd
Jamesville, NY 13078-9697
Phone (315) 416-7572
Other providers in Jamesville, NY
- Dawn Marie Becker
- Charles Bellavia
- Belly O'So Pregnant
- Erika Bird
- Gillian E Boucher
- Jessica E. Brown
- Joshua Brown
- Amanda L Burton
- Trameca Campbell
- Claire Cariseo
All providers in Jamesville, NY · Marriage & Family Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.