Individual provider Active NPI

Sofia P Falco, PSYD

  • Psychologist
  • Rochester, NY
National Provider Identifier
1992582787
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
025981 Issued in NY
Practice address
200 White Spruce Blvd Ste 220
Rochester, NY 14623-1605
Phone
(585) 201-8017
Fax
(585) 495-2384
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 025981 NY Primary

Addresses

Primary practice location

200 White Spruce Blvd Ste 220
Rochester, NY 14623-1605

Mailing address

200 White Spruce Blvd Ste 220
Rochester, NY 14623-1605

Other practice location 1

4 South St
Geneseo, NY 14454-1310
Phone (585) 770-7190

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929001395 NY Practitioner - Clinical Psychologist 0840644464 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Psychology, PLLC Psychologist CurrentSince Sep 11, 2023 Accepting new patients
Meridian Psychology Practice, PLLC PastSince Dec 18, 2022 Accepting new patients
Vascular Surgery of the University PastSince Sep 17, 2023 Accepting new patients
Harry M. Barsuk, LMHC, LLC PastSince Sep 17, 2023 Accepting new patients

Locations

200 White Spruce Blvd
Ste 220
Rochester, NY 14623
Phone (585) 270-1679

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1992582787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE SPRUCE BLVD STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE SPRUCE BLVD STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231605",
            "telephone_number": "585-201-8017",
            "fax_number": "585-495-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 South St",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541310",
            "country_code": "US",
            "telephone_number": "585-770-7190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALCO",
        "first_name": "SOFIA",
        "middle_name": "P",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "025981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.