Active NPI
Stephen Wesley Munson, M.D.
- Child & Adolescent Psychiatry Physician
- Rochester, NY
National Provider Identifier
1457423014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- NY125762
- Practice address
- 100 Linden Oaks
Suite 200
Rochester, NY 14625-2840 - Phone
- (585) 586-1600
- Fax
- (585) 586-7951
- NPI assigned
- Nov 15, 2006
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | NY125762 | NY | Primary |
Addresses
Primary practice location
100 Linden Oaks
Suite 200
Rochester, NY 14625-2840
Mailing address
100 Cheese Factory Rd
Honeoye Falls, NY 14472-9303
Phone (585) 586-1600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102249EW | Other | NY | PREFERRED CARE |
| 0789 | Other | NY | BLUE SHIELD |
| 7479049 | Other | AETNA | |
| P01025762 | Other | NY | BLUE CHOICE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125762 | NY | MD | Social Worker |
| NY125762 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457423014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHEESE FACTORY RD",
"city": "HONEOYE FALLS",
"state": "NY",
"postal_code": "144729303",
"telephone_number": "585-586-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LINDEN OAKS",
"address_2": "SUITE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146252840",
"telephone_number": "585-586-1600",
"fax_number": "585-586-7951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSON",
"first_name": "STEPHEN",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "NY125762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102249EW",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0789",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7479049",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P01025762",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.