Individual provider Active NPI

Garry Linsis Spink Jr., PHD

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1639658693
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P102732 Issued in NY
Practice address
100 Pinewild Dr FL 2
Rochester, NY 14606-4200
Phone
(585) 368-6708
NPI assigned
Aug 10, 2018
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 P102732 NY Primary

Addresses

Primary practice location

100 Pinewild Dr FL 2
Rochester, NY 14606-4200

Mailing address

100 Pinewild Dr FL 2
Rochester, NY 14606-4200
Phone (585) 368-6708

Other practice location 1

224 Alexander St
Rochester, NY 14607-4000
Phone (585) 922-7770

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
I20201026002774 NY Practitioner - Clinical Psychologist 9436579786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

224 Alexander St
Rochester, NY 14607-4000
Phone (585) 922-8400

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P102732NYMDClinical Psychologist
023878NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network, Inc. CurrentSince Sep 21, 2020 Accepting new patients
Rochester General Hospital CurrentSince Sep 21, 2020 Accepting new patients
Rochester General Hospital CurrentSince Sep 21, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 21, 2020 Accepting new patients
Rochester General Hospital Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 21, 2020 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

100 Pinewild Dr
Fl 2
Rochester, NY 14606
Phone (585) 368-6700

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

224 Alexander St
Rochester, NY 14607
Phone (585) 922-7770

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

Organizations & group practices 7

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1639658693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PINEWILD DR FL 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064200",
            "telephone_number": "585-368-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINEWILD DR FL 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146064200",
            "telephone_number": "585-368-6708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Alexander St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074000",
            "country_code": "US",
            "telephone_number": "585-922-7770",
            "fax_number": "585-922-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPINK",
        "first_name": "GARRY",
        "middle_name": "LINSIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P102732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.