Active NPI
Stephen S Farmer, PSYCHOLOGIST
- Psychologist
- Rochester, NY
National Provider Identifier
1710165600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 021329-1
- Practice address
- 420 Westfall Rd Apt 32
Rochester, NY 14620-4657 - Phone
- (571) 294-5303
- NPI assigned
- Feb 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 021329-1 | NY | Primary |
Addresses
Primary practice location
420 Westfall Rd Apt 32
Rochester, NY 14620-4657
Mailing address
420 Westfall Rd Apt 32
Rochester, NY 14620-4657
Phone (571) 294-5303
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200313001426 | NY | Practitioner - Clinical Psychologist | 6901234517 | Practice locations: Pittsford, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Office Park Way
Suite 125
Pittsford, NY 14534-1781
Phone (585) 888-3041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021329-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467936000000",
"number": "1710165600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 WESTFALL RD APT 32",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204657",
"telephone_number": "571-294-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 WESTFALL RD APT 32",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204657",
"telephone_number": "571-294-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "STEPHEN",
"middle_name": "S",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2016-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "021329-1",
"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, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.