Organization Active NPI

Brighton Psychological Assessment, PLLC

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1932939899
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BRIGHTON PSYCHOLOGICAL ASSESSMENT, PLLC
Practice address
2290 East Ave Ste 9
Rochester, NY 14610-2567
Phone
(585) 727-1943
NPI assigned
Aug 6, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Dr. Dale Kulick, PHD
Title
Clinical Psychologist
Phone
(585) 727-1943

Specialties & licenses 1

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

Addresses

Primary practice location

2290 East Ave Ste 9
Rochester, NY 14610-2567

Mailing address

2290 East Ave Ste 9
Rochester, NY 14610-2567
Phone (585) 727-1943

National Provider Directory

National Provider Directory

Locations

2290 East Ave
Ste 9
Rochester, NY 14610
Phone (585) 727-1943

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1932939899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 EAST AVE STE 9",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102567",
            "telephone_number": "585-727-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 EAST AVE STE 9",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102567",
            "telephone_number": "585-727-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTON PSYCHOLOGICAL ASSESSMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "KULICK",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "585-727-1943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Aug 6, 2024; 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.