Individual provider Active NPI

Tera Lee Storms, PSY.D.

  • Clinical Psychologist
  • Geneseo, NY
National Provider Identifier
1861434854
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016169 Issued in NY
Practice address
84 Avon Rd
Ste B
Geneseo, NY 14454-1057
Phone
(585) 301-7483
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016169 NY Primary

Addresses

Primary practice location

84 Avon Rd
Ste B
Geneseo, NY 14454-1057

Mailing address

PO Box 306
Geneseo, NY 14454-0306
Phone (585) 301-7483

Other identifiers 1

IdentifierTypeStateIssuer
02638379MedicaidNY

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000643 NY Practitioner - Clinical Psychologist 4981646429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

84 Avon Rd
Geneseo, NY 14454-1057
Phone (585) 301-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016169NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tera L. Storms, Psy.D., P.C. CurrentSince Oct 5, 2021 Accepting new patients
Milestone Psychiatric & Psychological Services P C Past Accepting new patients

Locations

84 Avon Rd
Ste B
Geneseo, NY 14454
Phone (585) 301-7483

84 Avon Rd
Geneseo, NY 14454
Phone (585) 301-7483

150 Court St
Ste 1
Geneseo, NY 14454
Phone (585) 301-7483

2656 W State St
Ste 506
Olean, NY 14760
Phone (585) 301-7483

Organizations & group practices 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1861434854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144540306",
            "telephone_number": "585-301-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 AVON RD",
            "address_2": "STE B",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541057",
            "telephone_number": "585-301-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMS",
        "first_name": "TERA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638379",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

Verify at the official NPI Registry.