Active NPI
Michelle Sue Swanger-Gagne, PHD
- Clinical Psychologist
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018851
- Practice address
- University of Rochester Medical Ctr
300 Crittenden Blvd, Box Psych
Rochester, NY 14642-0001 - Phone
- (402) 202-1792
- Fax
- (585) 271-7706
- NPI assigned
- Jul 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018851 | NY | |
| Psychologist | 103T00000X | 18851 | NY | |
| Clinical Psychologist | 103TC0700X | 018851 | NY | Primary |
Addresses
Primary practice location
University of Rochester Medical Ctr
300 Crittenden Blvd, Box Psych
Rochester, NY 14642-0001
Mailing address
University of Rochester Medical Ctr
300 Crittenden Blvd, Box Psych
Rochester, NY 14642-0001
Phone (402) 202-1792
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mswangergagne5352@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | mswangergagne5352@direct.urmc.rochester.edu | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0001
601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100
738 Library Rd
Rochester, NY 14642-0001
Phone (585) 275-2638
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18851 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester Department of Psychiatry Clinical Group | Psychologist | Current | Accepting new patients |
| University of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients |
Locations
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
300 Crittenden Blvd
Rochester, NY 14642
Phone (585) 275-3569
Interoperability endpoints
- mswangergagne5352@direct.urmc.rochester.edu
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Psychiatry Physician
- Rochester, NY
- NPI 1326088808
Psychologist
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
dba Genesee Health Services
- Internal Medicine Physician
- Rochester, NY
- NPI 1760557656
-
dba Strong Memorial Hospital-University of Rochester
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
dba Strong Memorial Hospital MD Group
- Internal Medicine Physician
- Rochester, NY
- NPI 1821152588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1982982690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF ROCHESTER MEDICAL CTR",
"address_2": "300 CRITTENDEN BLVD, BOX PSYCH",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "402-202-1792",
"fax_number": "585-271-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF ROCHESTER MEDICAL CTR",
"address_2": "300 CRITTENDEN BLVD, BOX PSYCH",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "402-202-1792",
"fax_number": "585-271-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANGER-GAGNE",
"first_name": "MICHELLE",
"middle_name": "SUE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-29",
"last_updated": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018851",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "18851",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018851",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mswangergagne5352@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mswangergagne5352@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"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 Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.