Lauren P Wadsworth, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

023260 Issued in NY

Practice address

200 White Spruce Blvd
Suite 220
Rochester, NY 14623-1605

Phone

(585) 270-1679

Fax

(585) 495-2384

NPI assigned

Jun 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Genesee Valley Psychology PLLCGroup PAC ID 0648692780, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Genesee Valley Psychology, PLLC

  • Adult Mental Health Clinic/Center
  • Rochester, NY
  • NPI 1679114169

  Psychologist

  Medicare reassignment Care Compare group NPD Authorized official
• Meridian Psychology Practice, PLLC

  • Clinical Psychologist
  • Geneseo, NY
  • NPI 1043921984
  NPD Authorized official
• Vascular Surgery of the University

  • Vascular Surgery Physician
  • Rochester, NY
  • NPI 1053332189
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1356861884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE SPRUCE BLVD",
            "address_2": "SUITE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231605",
            "telephone_number": "585-270-1679",
            "fax_number": "585-495-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE SPRUCE BLVD",
            "address_2": "SUITE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231605",
            "telephone_number": "585-270-1679",
            "fax_number": "585-495-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "LAUREN",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023260",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lorraine Wade, LPN
• Roshaun Wade, LPN
• Stacy Wade, OTR/L
• Taylor Waden, NP
• Lyla Wadia, PSY.D
• Mary Wadsworth, NP
• Katrina Wagar, PA-C
• Bryan Richard Wager, MD
• Mary L Wager, P.A.
• Anne L. Wagner, ANP

• Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.

Verify at the official NPI Registry.