Dr. Todd Deneen - Psychological Services, PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

DR. TODD DENEEN - PSYCHOLOGICAL SERVICES, PLLC

Practice address

20 Office Park Way Ste 125
Pittsford, NY 14534-1781

Phone

(585) 749-8372

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Todd Deneen, PSY.D.

Title

President

Phone

(585) 749-8372

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1851922751",
    "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 PARK WAY STE 125",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341781",
            "telephone_number": "585-749-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TODD DENEEN - PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "DENEEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-749-8372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION BOARD IME AUTHORIZATION NUMBER",
            "identifier": "S22010-3I",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Michael Dorkhom, D.M.D.
• Tiffany Marie Double, LCSW
• Caley Dougherty, FNP
• Dr. Anthony L. Ricci, DDS
• Dr. Nicholas Holub, Evolve Psychological Services, PLLC
• Matthew Jon Driscoll, D.C.
• Karyn A. Ducey, R.N.
• Kelly Christine Dumont
• Rebekah Sarah Ebersole
• Ann Marie Ebling, NP

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

Verify at the official NPI Registry.