DR. JAY ALLEN SUPNICK


Address: 448 White Spruce Blvd, Rochester, NY 14623-1608
Phone: 5854245680

DR. JAY ALLEN SUPNICK (NPI# 1699717280) 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) 1699717280
Entity Type Individual
Full Name DR. JAY ALLEN SUPNICK
Credential PH.D.
Practice Address 448 White Spruce Blvd
Rochester
NY 14623-1608
Practice Telephone 5854245680
Mailing Telephone 5854245680
Enumeration Date 2006-06-11
Last Update Date 2011-02-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 8678 NY Behavioral Health & Social Service Providers

Office Location

Street Address 448 WHITE SPRUCE BLVD
City ROCHESTER
State NY
Zip Code 14623-1608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346209012 Sharon Lee Falasco Psychologist 448 White Spruce Blvd, Rochester, NY 14623-1608 2006-03-21
1962618322 Robin Barnett Shiffrin Marriage & Family Therapist 448 White Spruce Blvd, Rochester, NY 14623-1608 2007-05-15
1255472460 Samuel L Kent Psychiatry & Neurology 448 White Spruce Blvd, Rochester, NY 14623-1608 2007-02-09

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1588049258 Lisa Parnell Nurse Practitioner 200 East River Road, Rochester, NY 14623 2015-07-23
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1972904423 Jonathan Bloom Urology 400 White Spruce Blvd Ste B, Rochester, NY 14623 2014-09-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134764871 Avital Ogniewicz Psychologist 2519 Commerce Dr Nw, Rochester, MN 55901-4432 2019-11-15
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1568902682 Katlyn D Rice Psychologist 200 E River Rd Fl 3, Rochester, NY 14623-1212 2017-03-08
1891231916 Alisa K. Phelps, Ph.d., Psychologist, Pllc Psychologist 697 Highland Ave, Rochester, NY 14620-3119 2017-01-12
1578967956 Mary Frances Maida Psychologist 25 Canterbury Rd Ste 307, Rochester, NY 14607-3403 2014-10-14
1689085037 Carrie Gleason Psychologist 900 W University Dr Ste B-3, Rochester, MI 48307-1817 2014-05-19
1043561335 Ken Wadum, Ed.d. Lp Psychologist 1530 Greenview Dr Sw, Suite 207, Rochester, MN 55902-4286 2012-09-26
1477839223 Trica L. Peterson Psychologist 675 Panorama Trl W, Suite 12, Rochester, NY 14625-2406 2011-10-25
1477866176 Janette Lynn Funk Psychologist 1577 South Ave, Rochester, NY 14620-3914 2010-07-22
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Competitor

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City ROCHESTER
Zip Code 14623

Improve Information

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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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