Stanko Rodic, MD

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

125644 Issued in NY

Practice address

2 Coulter Road
Behavioral Health
Clifton Springs, NY 14432

Phone

(315) 462-1465

Fax

(315) 462-0145

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477626703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COULTER ROAD",
            "address_2": "CLIFTON SPRINGS HOSPITAL & CLINIC ATTN MED STAFF OFF",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "14432",
            "telephone_number": "315-462-1464",
            "fax_number": "315-462-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER ROAD",
            "address_2": "BEHAVIORAL HEALTH",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "14432",
            "telephone_number": "315-462-1465",
            "fax_number": "315-462-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIC",
        "first_name": "STANKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "125644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Jean Rice, APRN, GNP-BC
• Morgan Rickerson
• Jasmeliz Rivera
• Rochester Regional Health
• Deborah Rockefeller
• Ryane Rodness
• David Roemer, M.D.
• Robert L Rosenblatt, D.O.
• Suzanne K Russell, M.S. CCC-SLP
• Elizabeth Russo, ANP-BC

• Addiction Psychiatry Physician in Clifton Springs, NY
• Providers in Clifton Springs, NY by specialty
• Addiction Psychiatry Physician in New York

• 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.

Verify at the official NPI Registry.