Individual provider Active NPI

Becca Spaulding, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1760799852
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400509 Issued in NY
Practice address
490 E Ridge Rd
Rochester, NY 14621-1229
Phone
(585) 922-2500
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400509 NY Primary

Addresses

Primary practice location

490 E Ridge Rd
Rochester, NY 14621-1229

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-4394

Other practice location 1

1425 Portland Ave Unit G-1
Rochester, NY 14621-3011
Phone (585) 922-4394

Other practice location 2

1550 Empire Blvd
Webster, NY 14580-2196
Phone (585) 671-4300

Other names 1

  • Becca McNamara Former name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220317002423 NY Practitioner - Nurse Practitioner 5496140014 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
400509NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rudoy Medical PC CurrentSince Oct 19, 2022 Accepting new patients
East Point Medical PC Psychiatric/Mental Health CurrentSince Jan 17, 2022 Accepting new patients
Good Health Psychiatric Services PC CurrentSince Sep 29, 2023 Accepting new patients
Rochester General Hospital Past Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

1523 Voorhies Ave
Brooklyn, NY 11235
Phone (718) 524-3600

26 Court St
Ste 808
Brooklyn, NY 11242
Phone (718) 307-1577

26 Court St
Ste 1510
Brooklyn, NY 11242
Phone (718) 522-3600

6219 5th Ave
Brooklyn, NY 11220
Phone (718) 307-1577

7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1760799852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-4394",
            "fax_number": "585-922-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211229",
            "telephone_number": "585-922-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave Unit G-1",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4394",
            "fax_number": "585-922-5715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 Empire Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802196",
            "country_code": "US",
            "telephone_number": "585-671-4300",
            "fax_number": "585-922-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "BECCA",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECCA",
            "last_name": "MCNAMARA",
            "credential": "NPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.