Individual provider Active NPI

Jana L Wachsler, PSYD

  • Clinical Psychologist
  • Canandaigua, NY
National Provider Identifier
1528037157
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015263-1 Issued in NY
Practice address
343 N Main St Ste 104
Canandaigua, NY 14424-1072
Phone
(585) 391-4949
Fax
(585) 380-1904
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015263-1 NY Primary

Addresses

Primary practice location

343 N Main St Ste 104
Canandaigua, NY 14424-1072

Mailing address

343 N Main St Ste 104
Canandaigua, NY 14424-1072
Phone (585) 391-4949

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
I20180124001948 NY Order and Referring Only - Clinical Psychologist 6103889084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015263-1NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1528037157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 N MAIN ST STE 104",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241072",
            "telephone_number": "585-391-4949",
            "fax_number": "585-380-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 N MAIN ST STE 104",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241072",
            "telephone_number": "585-391-4949",
            "fax_number": "585-380-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSLER",
        "first_name": "JANA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015263-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.