NPIMap

Organization Active NPI

Rochester Psychological Associates PLLC

Doing business as Rpa

  • Psychologist
  • Fairport, NY
National Provider Identifier
1144304502
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ROCHESTER PSYCHOLOGICAL ASSOCIATES PLLC
Doing business as
Rpa
Practice address
620 Crosskeys Office Park
Fairport, NY 14450
Phone
(585) 223-5920
Fax
(585) 223-5727
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Mrs. Jennifer Lynn Dumbleton
Title
Administative Assistant
Phone
(585) 223-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

620 Crosskeys Office Park
Fairport, NY 14450

Mailing address

620 Crosskeys Office Park
Fairport, NY 14450
Phone (585) 223-5920

Other identifiers 1

IdentifierTypeStateIssuer
G0189452590OtherNYBLUE CROSS BLUE SHIELD

Other names 1

  • RPA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1144304502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CROSSKEYS OFFICE PARK",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450",
            "telephone_number": "585-223-5920",
            "fax_number": "585-223-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CROSSKEYS OFFICE PARK",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450",
            "telephone_number": "585-223-5920",
            "fax_number": "585-223-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER PSYCHOLOGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "DUMBLETON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTATIVE ASSISTANT",
        "authorized_official_telephone_number": "585-223-5920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G0189452590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RPA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.