Active NPI
Amanda C Breese, PHD
- School Psychologist
- Amherst, NY
National Provider Identifier
1114702602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 4476 Main St Ste 204
Amherst, NY 14226-4465 - Phone
- (585) 770-7190
- NPI assigned
- Aug 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 68-P131891-01 | NY | |
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
4476 Main St Ste 204
Amherst, NY 14226-4465
Mailing address
344 Cayuga Rd
Buffalo, NY 14225-1940
Phone (607) 793-3962
Other practice location 1
4 South St
Geneseo, NY 14454-1310
Phone (585) 770-7190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 White Spruce Blvd
Suite 220
Rochester, NY 14623-1605
4647 W Cedar Lake Rd
Greenbush, MI 48738-9716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68-P131891-01 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Valley Psychology, PLLC | Current | Accepting new patients | |
| Vascular Surgery of the University | Past | Accepting new patients | |
| Harry M. Barsuk, LMHC, LLC | Past | Accepting new patients | |
| Meridian Psychology Practice, PLLC | Clinical | Past | Accepting new patients |
Locations
200 White Spruce Blvd
Ste 220
Rochester, NY 14623
Phone (585) 270-1679
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Rochester, NY
- NPI 1679114169
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Geneseo, NY
- NPI 1043981731
-
- Clinical Psychologist
- Geneseo, NY
- NPI 1043921984
-
- Vascular Surgery Physician
- Rochester, NY
- NPI 1053332189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1114702602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 CAYUGA RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142251940",
"telephone_number": "607-793-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4476 MAIN ST STE 204",
"city": "AMHERST",
"state": "NY",
"postal_code": "142264465",
"telephone_number": "585-770-7190"
}
],
"practiceLocations": [
{
"address_1": "4 South St",
"address_purpose": "LOCATION",
"city": "Geneseo",
"state": "NY",
"postal_code": "144541310",
"country_code": "US",
"telephone_number": "585-770-7190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREESE",
"first_name": "AMANDA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-31",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "68-P131891-01",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.