Active NPI
New Horizons of the Genesee Valley, Inc.
- Clinical Social Worker
- Honeoye Falls, NY
National Provider Identifier
1609835578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R042892-1
- Legal business name
- NEW HORIZONS OF THE GENESEE VALLEY, INC.
- Practice address
- 3 Episcopal Ave
Honeoye Falls, NY 14472-6900 - Phone
- (585) 624-1350
- Fax
- (585) 624-9181
- NPI assigned
- Mar 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Allen Spezzano, PHD
- Title
- Owner
- Phone
- (585) 624-1350
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R042892-1 | NY | Primary |
Addresses
Primary practice location
3 Episcopal Ave
Honeoye Falls, NY 14472-6900
Mailing address
3 Episcopal Ave
Honeoye Falls, NY 14472-6900
Phone (585) 624-1350
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7215572 | Other | NY | AETNA |
| RC80042892 | Other | NY | RCIPA |
| P010042892 | Other | NY | EXCELLUS |
| 118121FK | Other | NY | PREFERRED CARE |
| 5508792 | Other | NY | CCN |
| 2177484 | Other | NY | 1ST HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3 Episcopal Ave
Honeoye Falls, NY 14472
Phone (585) 330-2141
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Honeoye Falls, NY
- NPI 1235159997
-
- Clinical Social Worker
- Honeoye Falls, NY
- NPI 1184724759
-
- Mental Health Counselor
- Honeoye Falls, NY
- NPI 1528047131
-
- Clinical Social Worker
- Honeoye Falls, NY
- NPI 1760458574
-
- Clinical Social Worker
- Honeoye Falls, NY
- NPI 1194792192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591228800000",
"number": "1609835578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 EPISCOPAL AVE",
"city": "HONEOYE FALLS",
"state": "NY",
"postal_code": "144726900",
"telephone_number": "585-624-1350",
"fax_number": "585-624-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 EPISCOPAL AVE",
"city": "HONEOYE FALLS",
"state": "NY",
"postal_code": "144726900",
"telephone_number": "585-624-1350",
"fax_number": "585-624-9181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HORIZONS OF THE GENESEE VALLEY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-20",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A",
"authorized_official_last_name": "SPEZZANO",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-624-1350",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R042892-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7215572",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RCIPA",
"identifier": "RC80042892",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "P010042892",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "118121FK",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5508792",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1ST HEALTH",
"identifier": "2177484",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honeoye Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.