Individual provider Active NPI

Evelyn Meier Lynch, PHD

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1861989642
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
023831 Issued in NY
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

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407000706 NY Practitioner - Clinical Psychologist 3375950470 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
023831NYMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Psychology, PLLC Multi-Specialty CurrentSince Mar 1, 2021 Accepting new patients
Harry M. Barsuk, LMHC, LLC PastSince Sep 17, 2023 Accepting new patients
Vascular Surgery of the University Multi-Specialty Past Accepting new patients
Meridian Psychology Practice, PLLC Clinical PastSince Dec 18, 2022 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.

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

Verify at the official NPI Registry.