Individual provider Active NPI

Ann Garczynski Altoonian, PSY.D.

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1699737312
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012371 Issued in NY
Practice address
500 Helendale Rd
Suite 130
Rochester, NY 14609-3173
Phone
(585) 467-5930
Fax
(585) 467-6878
NPI assigned
Apr 6, 2006
Last updated
Jul 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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 012371 NY Primary

Addresses

Primary practice location

500 Helendale Rd
Suite 130
Rochester, NY 14609-3173

Mailing address

5688 Williamson Pkwy
Cicero, NY 13039-9513
Phone (585) 467-5930

Other identifiers 1

IdentifierTypeStateIssuer
01785771MedicaidNY

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
I20040902001367 NY Practitioner - Clinical Psychologist 3072589803 Practice locations: Phelps, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1156 County Rd
Suite 23
Phelps, NY 14532-9769
Phone (315) 458-3239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Altoonian Counseling Past Accepting new patients

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1699737312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5688 WILLIAMSON PKWY",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130399513",
            "telephone_number": "585-467-5930",
            "fax_number": "585-412-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD",
            "address_2": "SUITE 130",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-467-5930",
            "fax_number": "585-467-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTOONIAN",
        "first_name": "ANN",
        "middle_name": "GARCZYNSKI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01785771",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.