NPIMap

Organization Active NPI

Psychiatric Wellness Group

  • Psychiatry Physician
  • Rochester, NY
National Provider Identifier
1528706017
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHIATRIC WELLNESS GROUP
Practice address
625 Panorama TRL Ste 2220
Rochester, NY 14625-2431
Phone
(585) 218-0766
Fax
(585) 218-0765
NPI assigned
May 24, 2022
Organization subpart
Yes
Parent organization
DOUGLAS A. LANDY MD PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Dr. Douglas A. Landy, MDNPI 1104893494
Title
Owner
Phone
(585) 218-0766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

625 Panorama TRL Ste 2220
Rochester, NY 14625-2431

Mailing address

625 Panorama TRL Ste 220
Rochester, NY 14625-2432
Phone (585) 218-0766

Other names 1

  • Psychiatric Wellness Group Other name

National Provider Directory

National Provider Directory
Part of
Psychiatric Wellness Group

Locations

625 Panorama Trl
Ste 220
Rochester, NY 14625
Phone (585) 218-0766

625 Panorama Trl
Ste 2220
Rochester, NY 14625
Phone (585) 271-7575

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1528706017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRL STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252432",
            "telephone_number": "585-218-0766",
            "fax_number": "585-218-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRL STE 2220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252431",
            "telephone_number": "585-218-0766",
            "fax_number": "585-218-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC WELLNESS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOUGLAS A. LANDY MD PLLC",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "LANDY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-218-0766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatric Wellness Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 4, 2023; 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.