Todd Deneen, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

022010-01 Issued in NY

Practice address

20 Office Pkwy Ste 125
Pittsford, NY 14534-1781

Phone

(585) 749-8372

NPI assigned

Sep 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Raymond W Lemberg PHD PCGroup PAC ID 3375578917, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Raymond W Lemberg PHD PC

  • Psychologist
  • Glendale, AZ
  • NPI 1710162888
  Medicare reassignment Care Compare group NPD
• Arizona Therapy Associates, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1033564042
  NPD (past)

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1780053231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LARKSPUR LN",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509207",
            "telephone_number": "585-749-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OFFICE PKWY STE 125",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341781",
            "telephone_number": "585-749-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEEN",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2015032101",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022010-01",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "NY",
            "license": "022010-01",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "022010-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION BOARD IME AUTHORIZATION NUMBER",
            "identifier": "S22010-3I",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Dawson
• DD Pitcher LLC
• Amy B Debiase, MS, SLP/CCC
• Marc Deeley, OD
• Peter T Deloe, DC
• Jacqueline Patricia Dennison, N.P.
• Harpreet Deol, DDS
• Thomas John Destefano, D.M.D.
• Carl Michael Devore
• David A Diana, LMHC, CASAC

• Clinical Neuropsychologist in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.

Verify at the official NPI Registry.