Individual provider Active NPI

Cheryl Loomis, PHD

  • Clinical Psychologist
  • Utica, NY
National Provider Identifier
1336539527
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019657 Issued in NY
Practice address
286 Genesee St
Utica, NY 13502-4639
Phone
(607) 373-9703
Fax
(315) 295-2585
NPI assigned
Jan 27, 2015
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019657 NY
Psychologist 103T00000X 35SI00555100 NJ
Clinical Psychologist 103TC0700X 35SI00555100 NJ
Clinical Psychologist 103TC0700X 019657 NY Primary

Addresses

Primary practice location

286 Genesee St
Utica, NY 13502-4639

Mailing address

286 Genesee St
Utica, NY 13502-4639
Phone (607) 373-9703

Other practice location 1

109 S Warren St Ste 716
Syracuse, NY 13202-4748
Phone (607) 373-9703

Other identifiers 1

IdentifierTypeStateIssuer
04324223MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cheryl@loomispsychology.com Direct
Direct Messaging Address cheryl@loomispsychology.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311001782 NY Practitioner - Clinical Psychologist 3173825759 Practice locations: Utica, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

286 Genesee St
Utica, NY 13502-4639
Phone (607) 373-9703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
019657NYMDPsychologist
35SI00555100NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ny Mental Health Services PastSince May 17, 2020 Accepting new patients
Genesee Street Medical Health PastSince May 17, 2020 Accepting new patients
Loomis Psychology, PLLC Psychologist PastSince Dec 18, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cheryl@loomispsychology.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1336539527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024639",
            "telephone_number": "607-373-9703",
            "fax_number": "315-295-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024639",
            "telephone_number": "607-373-9703",
            "fax_number": "315-295-2585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 S Warren St Ste 716",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132024748",
            "country_code": "US",
            "telephone_number": "607-373-9703",
            "fax_number": "315-295-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2026-02-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019657",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00555100",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00555100",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04324223",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryl@loomispsychology.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "286 Genesee St",
            "city": "Utica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "135024639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryl@loomispsychology.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "109 S Warren St Ste 716",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132024748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.