P Richard Fauth, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0093281 Issued in NY

Practice address

920 Winton Road South
Suite a
Rochester, NY 14618

Phone

(585) 256-3050

Fax

(585) 267-1182

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740355817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINTON ROAD SOUTH",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-256-3050",
            "fax_number": "585-267-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WINTON ROAD SOUTH",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-256-3050",
            "fax_number": "585-267-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUTH",
        "first_name": "P",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0093281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01109737",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4580504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Victoria Faulkner
• Michelle Lynn Faulkner, RPA-C
• Diane Jeannette Fauth, LMHC, NCC, NCSC
• Jamie Fauth, PMHNP
• Kristy Fauth
• Linda Maria Favitta, LMSW
• Simon Z Fawzy, M.D.
• Jazeela Fayyaz, D.O.
• Rachel Anne Fazenbaker, MD
• Kayla R Fazi, RN

• Clinical Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Psychologist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.