Active NPI
Michael Stephen Lembaris
- Clinical Psychologist
- Rochester, NY
National Provider Identifier
1205068780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024065
- Practice address
- 160 Allens Creek Rd Ste 100
Rochester, NY 14618-3309 - Phone
- (619) 887-4068
- NPI assigned
- Aug 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 024065 | NY | Primary |
Addresses
Primary practice location
160 Allens Creek Rd Ste 100
Rochester, NY 14618-3309
Mailing address
3252 Holiday CT Ste 102
La Jolla, CA 92037-1807
Phone (619) 887-4068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2023 through Jan 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28191 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1205068780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3252 HOLIDAY CT STE 102",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371807",
"telephone_number": "619-887-4068",
"fax_number": "866-687-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ALLENS CREEK RD STE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183309",
"telephone_number": "619-887-4068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMBARIS",
"first_name": "MICHAEL",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-17",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024065",
"primary": true
}
],
"identifiers": [],
"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 Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.