Carla A Giambrone
Individual provider Active NPI Clinical Psychologist · East Rochester, NY
NPI 1780201723 · NPPES record last updated Jun 25, 2020
Key facts
- NPI
- 1780201723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 023725-01 (NY)
- Practice address
- 129 W Commercial St Ste 5
East Rochester, NY 14445-2171 - Phone
- (585) 202-6001
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023725-01 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | 023725-01 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 023725-01 | NY | |
| Clinical Psychologist | 103TC0700X | 023725-01 | NY | Yes |
Addresses
Primary practice location
129 W Commercial St Ste 5
East Rochester, NY 14445-2171
Mailing address
6 Knollwood Dr
Rochester, NY 14618-3513
Phone (585) 202-6001
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Office | Health Information Exchange (HIE) |
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All providers in East Rochester, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.