Active NPI
Andrew Samuel Connors
- Clinical Psychologist
- Pittsford, NY
National Provider Identifier
1992407753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 68-P115325-01
- Practice address
- 1175 Pittsfor-Victor Road
Ste 120
Pittsford, NY 14534-3831 - Phone
- (585) 201-8451
- NPI assigned
- Mar 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 68-P115325-01 | NY | Primary |
Addresses
Primary practice location
1175 Pittsfor-Victor Road
Ste 120
Pittsford, NY 14534-3831
Mailing address
1165 Hidden Valley TRL
Webster, NY 14580-9133
Phone (585) 748-8373
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 |
|---|---|---|---|
| 68-P115325-01 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1992407753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 HIDDEN VALLEY TRL",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145809133",
"telephone_number": "585-748-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 PITTSFOR-VICTOR ROAD",
"address_2": "STE 120",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145343831",
"telephone_number": "585-201-8451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "ANDREW",
"middle_name": "SAMUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-17",
"last_updated": "2023-03-17",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "68-P115325-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.