Organization Active NPI

Kelly Newby, Psy.D., PLLC

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1538678917
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KELLY NEWBY, PSY.D., PLLC
Practice address
2450 W Ridge Rd Ste 303
Rochester, NY 14626-3037
Phone
(585) 448-0936
Fax
(585) 448-0973
NPI assigned
Sep 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Kelly Newby
Title
Owner
Phone
(585) 448-0936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2450 W Ridge Rd Ste 303
Rochester, NY 14626-3037

Mailing address

2450 W Ridge Rd Ste 303
Rochester, NY 14626-3037
Phone (585) 448-0936

National Provider Directory

National Provider Directory

Locations

80 West Ave
Ste L9
Brockport, NY 14420
Phone (585) 406-4105

3177 Latta Rd
#113
Rochester, NY 14612
Phone (585) 484-0119

2450 W Ridge Rd
Ste 303
Rochester, NY 14626
Phone (585) 448-0936

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": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1538678917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD STE 303",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-448-0936",
            "fax_number": "585-448-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W RIDGE RD STE 303",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263037",
            "telephone_number": "585-448-0936",
            "fax_number": "585-448-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY NEWBY, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-448-0936"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 18, 2019; 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.