Active NPI
Alisa K Phelps, PHD
- Psychologist
- Rochester, NY
National Provider Identifier
1649499047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0132891
- Practice address
- 697 Highland Avenue
Rochester, NY 14620 - Phone
- (585) 256-1963
- Fax
- (585) 256-9851
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0132891 | NY | Primary |
Addresses
Primary practice location
697 Highland Avenue
Rochester, NY 14620
Mailing address
697 Highland Avenue
Rochester, NY 14620
Phone (585) 256-1963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0132891 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649499047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 HIGHLAND AVENUE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14620",
"telephone_number": "585-256-1963",
"fax_number": "585-256-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 HIGHLAND AVENUE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14620",
"telephone_number": "585-256-1963",
"fax_number": "585-256-9851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "ALISA",
"middle_name": "K",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0132891",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.