Individual provider Active NPI

Brian Scott Amos, PHD

  • Psychologist
  • Rochester, NY
National Provider Identifier
1477710705
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
21436 Issued in NY
Practice address
100 Linden Oaks Ste 200
Rochester, NY 14625-2831
Phone
(585) 586-1600
Fax
(585) 586-7951
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 21436 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

Other practice location 1

5130 E Main Street Rd
Batavia, NY 14020-3444
Phone (585) 344-1421

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150518000227 NY Practitioner - Clinical Psychologist 8426378340 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
21436NYMDPsychologist
021436NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans County Treasurer Office CurrentSince Aug 2, 2023 Accepting new patients
Orleans County Department of Mental Health CurrentSince Aug 2, 2023 Accepting new patients

Locations

14014 State Route 31
Albion, NY 14411
Phone (585) 589-3292

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1477710705",
    "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",
            "fax_number": "585-586-7951"
        },
        {
            "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",
            "fax_number": "585-586-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 E Main Street Rd",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140203444",
            "country_code": "US",
            "telephone_number": "585-344-1421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMOS",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "21436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.