Organization Active NPI

Meghan L. Fox, Psy.D., P.L.L.C.

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1881241842
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MEGHAN L. FOX, PSY.D., P.L.L.C.
Practice address
1580 Elmwood Ave Ste D
Rochester, NY 14620-3620
Phone
(585) 633-8758
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Meghan Leah Fox, PSY.D.
Title
Clinical Psychologist/Owner
Phone
(585) 633-8758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1580 Elmwood Ave Ste D
Rochester, NY 14620-3620

Mailing address

1580 Elmwood Ave Ste D
Rochester, NY 14620-3620
Phone (585) 633-8758

Other identifiers 1

IdentifierTypeStateIssuer
05445827MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice

National Provider Directory

National Provider Directory

Locations

1580 Elmwood Ave
Ste D
Rochester, NY 14620
Phone (585) 633-8758

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1881241842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 ELMWOOD AVE STE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203620",
            "telephone_number": "585-633-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 ELMWOOD AVE STE D",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203620",
            "telephone_number": "585-633-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGHAN L. FOX, PSY.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "585-633-8758",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05445827",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "Simple Practice secure electronic medical record software",
            "address_1": "1580 Elmwood Ave Ste D",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146203620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 23, 2019; 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.