Alisa K. Phelps, PH.D., Psychologist, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013289 Issued in NY

Legal business name

ALISA K. PHELPS, PH.D., PSYCHOLOGIST, PLLC

Practice address

697 Highland Ave
Rochester, NY 14620-3119

Phone

(585) 256-1963

Fax

(585) 256-9851

NPI assigned

Jan 12, 2017

Last updated

Jan 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alisa Kay Phelps, PH.D.NPI 1649499047

Title

Licensed Psychologist

Phone

(585) 256-1963

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alisa K Phelps, PHD

  • Psychologist
  • Rochester, NY
  • NPI 1649499047
  Authorized official Same address or phone

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1891231916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 HIGHLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203119",
            "telephone_number": "585-256-1963",
            "fax_number": "585-256-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 HIGHLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203119",
            "telephone_number": "585-256-1963",
            "fax_number": "585-256-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISA K. PHELPS, PH.D., PSYCHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "585-256-1963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice M. Tariot M.D., P.C.
• Fernando Gabriel Alicea Quintana, DO
• Carly Catherine Alicea, AU.D., PH.D., CCC-A
• Align Chiropractic (Allison Fleming, DC)
• Alinaghi Farrokh, M.D., P.C.
• Omar Salah Aljitawi, M.D.
• Bandar Aljudaibi
• Abedalhamied Mamoun Alkamil
• Ammar Alkassm
• Ziad Alkhoury, MD

• Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.