Active NPI
Evelyn Meier Lynch, PHD
- Clinical Psychologist
- Rochester, NY
National Provider Identifier
1861989642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023831
- Practice address
- 200 White Spruce Blvd Ste 2
Rochester, NY 14623-1605 - Phone
- (585) 310-2018
- NPI assigned
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023831 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
200 White Spruce Blvd Ste 2
Rochester, NY 14623-1605
Mailing address
200 White Spruce Blvd Ste 2
Rochester, NY 14623-1605
Phone (585) 310-2018
Other practice location 1
4 South St
Geneseo, NY 14454-1310
Phone (585) 770-7190
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023831 | NY | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Valley Psychology, PLLC | Multi-Specialty | Current | Accepting new patients |
| Harry M. Barsuk, LMHC, LLC | Past | Accepting new patients | |
| Vascular Surgery of the University | Multi-Specialty | Past | Accepting new patients |
| Meridian Psychology Practice, PLLC | Clinical | Past | Accepting new patients |
Locations
200 White Spruce Blvd
Ste 220
Rochester, NY 14623
Phone (585) 270-1679
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- Rochester, NY
- NPI 1679114169
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Geneseo, NY
- NPI 1043981731
-
- Clinical Psychologist
- Geneseo, NY
- NPI 1043921984
-
- Vascular Surgery Physician
- Rochester, NY
- NPI 1053332189
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1861989642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WHITE SPRUCE BLVD STE 2",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231605",
"telephone_number": "585-310-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WHITE SPRUCE BLVD STE 2",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231605",
"telephone_number": "585-310-2018"
}
],
"practiceLocations": [
{
"address_1": "4 South St",
"address_purpose": "LOCATION",
"city": "Geneseo",
"state": "NY",
"postal_code": "144541310",
"country_code": "US",
"telephone_number": "585-770-7190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNCH",
"first_name": "EVELYN",
"middle_name": "MEIER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023831",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.