Active NPI
Garrett Warshay
- Clinical Psychologist
- Rochester, NY
National Provider Identifier
1922557289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024372
- Practice address
- 877 Elmwood Ave
Rochester, NY 14620-2933 - Phone
- (585) 484-0705
- NPI assigned
- Sep 28, 2016
- Reactivated
- Jul 9, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 024372 | NY | Primary |
Addresses
Primary practice location
877 Elmwood Ave
Rochester, NY 14620-2933
Mailing address
877 Elmwood Ave
Rochester, NY 14620-2933
Phone (585) 484-0705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024372 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1922557289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146202933",
"telephone_number": "585-484-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146202933",
"telephone_number": "585-484-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARSHAY",
"first_name": "GARRETT",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-28",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"deactivation_date": "2021-06-24",
"reactivation_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024372",
"primary": true
}
],
"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 Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.