Active NPI
Cheryl Loomis, PHD
- Clinical Psychologist
- Utica, NY
National Provider Identifier
1336539527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 019657
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04324223 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019657 | NY | MD | Psychologist |
| 35SI00555100 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ny Mental Health Services | Past | Accepting new patients | |
| Genesee Street Medical Health | Past | Accepting new patients | |
| Loomis Psychology, PLLC | Psychologist | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Psychologist
- Utica, NY
- NPI 1578937314
-
- Behavior Analyst
- Utica, NY
- NPI 1033353024
-
- Psychiatry Physician
- Utica, NY
- NPI 1184138265
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.