Organization Active NPI

Stephen R. Gaylord L.C.S.W. PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, NY
National Provider Identifier
1285216341
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
STEPHEN R. GAYLORD L.C.S.W. PLLC
Practice address
4 Chelmsford Rd Ste 2
Rochester, NY 14618-1755
Phone
(585) 435-4058
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Mr. Stephen R. Gaylord, L.C.S.W.NPI 1679800809
Title
Mental Health Clinician
Phone
(585) 314-9713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4 Chelmsford Rd Ste 2
Rochester, NY 14618-1755

Mailing address

277 Aldine St
Rochester, NY 14619-1234
Phone (585) 314-9713

Other names 1

  • Walkabout Action Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@walkaboutactioncounseling.com Direct

National Provider Directory

National Provider Directory

Locations

4 Chelmsford Rd
Ste 2
Rochester, NY 14618
Phone (585) 435-4058

Practitioners & affiliated clinicians

Practitioners 1

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": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1285216341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 ALDINE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191234",
            "telephone_number": "585-314-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CHELMSFORD RD STE 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181755",
            "telephone_number": "585-435-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. GAYLORD L.C.S.W. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "585-314-9713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@walkaboutactioncounseling.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Chelmsford Rd Ste 2",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146181755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Walkabout Action Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2021; 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.