DR. DEBRA C. ROACH


Address: 1357 Monroe Ave, Rochester, NY 14618-1005
Phone: 5854429601

DR. DEBRA C. ROACH (NPI# 1598719965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598719965
Entity Type Individual
Full Name DR. DEBRA C. ROACH
Credential PH.D.
Practice Address 1357 Monroe Ave
Rochester
NY 14618-1005
Practice Telephone 5854429601
Practice Fax Number 5854429606
Mailing Telephone 5854429601
Mailing Fax Number 5854429606
Enumeration Date 2006-05-20
Last Update Date 2011-10-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
008455 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY AETNA PROVIDER # 0005694336 01
NY PREFERRED CARE PROVIDER # 103240FC 01
NY EXCELLUS PROVIDER # P010008455 01

Office Location

Street Address 1357 MONROE AVE
City ROCHESTER
State NY
Zip Code 14618-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457311763 Valerie Lynn Cole Psychologist 1357 Monroe Ave, Rochester, NY 14618-1005 2006-03-23
1982187621 Patricia P Schultz Psychologist 1357 Monroe Ave, Rochester, NY 14618-1005 2018-09-10
1467849786 Beth Cerrito Phd Psychologist PC Psychologist 1357 Monroe Ave, Rochester, NY 14618-1005 2015-04-24
1699095737 Beth M Cerrito Psychologist 1357 Monroe Ave, Rochester, NY 14618-1005 2010-06-10
1851516116 Catherine Jean Flannery Psychologist 1357 Monroe Ave, Rochester, NY 14618-1005 2007-04-13
1043265598 Allen Roach Psychologist 1357 Monroe Ave, Rochester, NY 14618-1005 2006-05-23

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NPI Name Taxonomy Address Enumeration
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1720443096 Brittany Rose Masetta Marriage & Family Therapist 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 2015-12-30
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346883873 Denise Pine Psychologist 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 2019-10-28
1205305729 Christopher Corona Psychologist 100 Linden Oaks, Suite 102, Rochester, NY 14625 2018-11-14
1275017550 Leah Rothschild Psychologist 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 2018-09-21
1639658693 Garry Linsis Spink Jr. Psychologist 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 2018-08-10
1942798129 Rachel Marie Rodorigo Psychologist 900 W University Dr Ste B3, Rochester, MI 48307-1817 2018-04-24
1740799162 Douglas Andrew Raynor Psychologist 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 2017-09-28
1356861884 Lauren P Wadsworth Psychologist 21 Goodway Dr, Rochester, NY 14623-3029 2017-06-26
1881120947 Dayton Walsh Psychologist 190 Goodman St S, Rochester, NY 14607-2651 2017-05-11
1770019713 Brenna Cavanaugh Psychologist 200 East River Rd., Rochester, NY 14623 2017-05-11
1275068470 Tara Marie Augenstein Psychologist University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 2017-04-25
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Competitor

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City ROCHESTER
Zip Code 14618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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