Marisol A Valencia-Payne, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023564 Issued in NY

Practice address

1299 Portland Ave Ste 1
Rochester, NY 14621-2730

Phone

(585) 450-0250

NPI assigned

Sep 19, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marisolvalencia-payne@robinspsych.medentdirect.com

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.

• Athenapsych LLC

  • Psychiatry Physician
  • Bronx, NY
  • NPI 1679244768
  NPD

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1366792103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 PORTLAND AVE STE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212730",
            "telephone_number": "585-450-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 PORTLAND AVE STE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212730",
            "telephone_number": "585-450-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 W 60th St Ste 600",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100237905",
            "country_code": "US",
            "telephone_number": "212-586-3773",
            "fax_number": "508-427-6915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIA-PAYNE",
        "first_name": "MARISOL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "023564",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathik Vaidya, DPM
• Saikrishnan Vaisravanath
• Pablo Valdes Barrera, MD
• Tamieka Nicole Valdez
• Blanca Yvette Valdovinos, M.D.
• Hugo Valencia, M.D.
• Isabella Valente
• Nicholas Valente, M.D.
• Julia Anne Valenti, PA
• Paul Valenti, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.