Genesee Valley Psychology, Pllc
LBN: Genesee Valley Psychology, Pllc
Genesee Valley Psychology, Pllc is an health care organization with primary practice located at 200 White Spruce Blvd Suite 220, Rochester NY 14623. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Genesee Valley Psychology, Pllc can be contacted via phone (585) 201-8017, or through Wadsworth, Lauren P via phone (585) 270-1679.
Contact Information
Primary practice address
200 White Spruce Blvd Suite 220
Rochester NY 14623
Phone: (585) 201-8017
Fax: (585) 495-2384
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
NPI number | 1679114169 |
---|---|
LBN Legal business name | Genesee Valley Psychology, Pllc |
DBA Doing business as | |
Authorized official | Wadsworth, Lauren P PHD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 5th, 2019 |
Last updated | Aug 5th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679114169 | NPPES |
New York | MEDICAID | 06508112 |
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