Organization Active NPI

J. S. Byrne Psychological Services, PC

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1336724335
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
J. S. BYRNE PSYCHOLOGICAL SERVICES, PC
Practice address
160 Allens Creek Rd Ste 160
Rochester, NY 14618-3312
Phone
(585) 340-7135
Fax
(607) 871-2100
NPI assigned
Mar 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Dr. James Stephen Byrne, PSY.D.NPI 1558689497
Title
President
Phone
(585) 340-7135

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

160 Allens Creek Rd Ste 160
Rochester, NY 14618-3312

Mailing address

160 Allens Creek Rd Ste 160
Rochester, NY 14618-3312
Phone (585) 340-7135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324003323 NY Part B Supplier - Clinic/Group Practice 7719394410 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

160 Allens Creek Rd
Ste 150
Rochester, NY 14618

Practitioners & affiliated clinicians

Practitioners 2

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": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1336724335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALLENS CREEK RD STE 160",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183312",
            "telephone_number": "585-340-7135",
            "fax_number": "607-871-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ALLENS CREEK RD STE 160",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183312",
            "telephone_number": "585-340-7135",
            "fax_number": "607-871-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. S. BYRNE PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-340-7135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.