Individual provider Active NPI

James Stephen Byrne, PSY.D.

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1558689497
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019730 Issued in NY
Practice address
160 Allens Creek Rd Ste 160
Rochester, NY 14618-3312
Phone
(585) 340-7135
NPI assigned
May 15, 2010
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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 019730 NY Primary

Addresses

Primary practice location

160 Allens Creek Rd Ste 160
Rochester, NY 14618-3312

Mailing address

160 Allens Creek Rd Ste 160
Rochester, NY 14618-3312
Phone (585) 340-7135

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
I20210326001757 NY Practitioner - Clinical Psychologist 0244528594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

160 Allens Creek Rd
Suite 160
Rochester, NY 14618-3312
Phone (585) 340-7135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019730NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J. S. Byrne Psychological Services, PC Clinical CurrentSince Dec 8, 2020 Accepting new patients

Locations

160 Allens Creek Rd
Ste 160
Rochester, NY 14618
Phone (585) 340-7135

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1558689497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALLENS CREEK RD STE 160",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183312",
            "telephone_number": "585-340-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ALLENS CREEK RD STE 160",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183312",
            "telephone_number": "585-340-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "JAMES",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-15",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.