Individual provider Active NPI

Marc T Swogger, PH.D.

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1598994535
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0174121 Issued in NY
Practice address
University of Rochester Medical Ctr
300 Crittenden Blvd.
Rochester, NY 14642-0001
Phone
(585) 275-7418
Fax
(585) 273-1117
NPI assigned
Jul 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017412-1 NY
Clinical Psychologist 103TC0700X 174121 NY
Clinical Psychologist 103TC0700X 0174121 NY Primary

Addresses

Primary practice location

University of Rochester Medical Ctr
300 Crittenden Blvd.
Rochester, NY 14642-0001

Mailing address

601 Elmwood Ave
Box: Psych
Rochester, NY 14642-0001
Phone (585) 275-7418

Other identifiers 1

IdentifierTypeStateIssuer
03166387MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mswogger5360@direct.urmc.rochester.edu Direct

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
I20091125000138 NY Practitioner - Clinical Psychologist 1456490895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

179 Sullys TRL
Suite 200
Pittsford, NY 14534-4500
Phone (585) 275-7301

300 Crittenden Blvd
Rochester, NY 14642-0001
Phone (585) 275-3569

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-7424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017412-1NYMDClinical Psychologist
0174121NYMDClinical Psychologist
174121NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Palliative Care Group CurrentSince Feb 6, 2024 Accepting new patients
University of Rochester Department of Psychiatry Clinical Group CurrentSince May 1, 2013 Accepting new patients

Locations

300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3569

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1598994535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX: PSYCH",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7418",
            "fax_number": "585-276-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF ROCHESTER MEDICAL CTR",
            "address_2": "300 CRITTENDEN BLVD.",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7418",
            "fax_number": "585-273-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOGGER",
        "first_name": "MARC",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017412-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "174121",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0174121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03166387",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mswogger5360@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.