Active NPI
Jacob Swartwout, PSYD
- Clinical Psychologist
- Rochester, NY
National Provider Identifier
1356944672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P107328
- Practice address
- 100 Linden Oaks Ste 200
Rochester, NY 14625-2831 - Phone
- (585) 586-1600
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P107328 | NY | Primary |
Addresses
Primary practice location
100 Linden Oaks Ste 200
Rochester, NY 14625-2831
Mailing address
100 Linden Oaks Ste 200
Rochester, NY 14625-2831
Phone (585) 586-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P107328 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Psychological Evaluation | Current | Accepting new patients |
Locations
100 Linden Oaks
Ste 200
Rochester, NY 14625
Phone (585) 586-1600
Organizations & group practices 1
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.
-
- Psychologist
- Rochester, NY
- NPI 1821838293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1356944672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LINDEN OAKS STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146252831",
"telephone_number": "585-586-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LINDEN OAKS STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146252831",
"telephone_number": "585-586-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTWOUT",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "P107328",
"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 Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.