DR. VINCENT FASANELLO (NPI# 1902827314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902827314 |
| Entity Type | Individual |
| Full Name | DR. VINCENT FASANELLO |
| Credential | MD |
| Practice Address |
135 Sullys Trl Ste 11 Pittsford NY 14534-4564 |
| Practice Telephone | 5852480900 |
| Practice Fax Number | 5852483566 |
| Mailing Telephone | 5852480900 |
| Mailing Fax Number | 5852483566 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
170635 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | 101190EU | 01 |
| NY | AETNA | 5714454 | 01 |
| NY | BLUE CROSS BLUE SHIELD | 1745 | 01 |
| NY | BLUE CHOICE | 010176035 | 01 |
| Street Address |
135 SULLYS TRL STE 11 |
| City | PITTSFORD |
| State | NY |
| Zip Code | 14534-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922061399 | Ramona Lisa Stein | Audiologist | 135 Sullys Trl, Suite 10, Pittsford, NY 14534-4564 | 2006-04-07 |
| 1770107930 | Alexander P Kuehl | Chiropractor | 135 Sullys Trl, Ste 5, Pittsford, NY 14534-4564 | 2020-06-03 |
| 1568866242 | Sounds for Life of Pittsford Ny LLC | Audiologist | 135 Sullys Trl, Suite 10, Pittsford, NY 14534-4564 | 2014-10-09 |
| 1417386806 | Kanoa General | Massage Therapist | 135 Sullys Trl, Suite 3, Pittsford, NY 14534-4564 | 2013-11-06 |
| 1710235536 | Comprehensive Dermatology of Rochester, Pllc | Dermatology | 135 Sullys Trl, Suite 7, Pittsford, NY 14534-4564 | 2012-08-28 |
| 1356697882 | Vilensky Upstate Medicine PC | Pain Medicine | 135 Sullys Trl, Ste 5, Pittsford, NY 14534-4564 | 2012-08-02 |
| 1710283791 | Rochester Physicians, Pllc | Anesthesiology | 135 Sullys Trl, Suite 5, Pittsford, NY 14534-4564 | 2011-02-08 |
| 1932370897 | Pittsford Family Medicine Pllc | Clinic/Center | 135 Sullys Trl, Suite 7, Pittsford, NY 14534-4564 | 2008-03-19 |
| 1366457814 | Manasi Kadam Ladrigan | Dermatology | 135 Sullys Trl, Suite 7, Pittsford, NY 14534-4564 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273882 | Arbor Health Inc | Nutritionist | 613 Pittsford Victor Rd, Pittsford, NY 14534 | 2020-07-23 |
| 1619448990 | Azita Anissi Dds | Dentist | 121 Sullys Trail Suite 1, Pittsford, NY 14534 | 2018-12-11 |
| 1831697309 | Meaza Teklemariam | Registered Nurse | 2 Pin Hook Lane, Pittsford, NY 14534 | 2018-01-30 |
| 1386099356 | Bryan Robert Harrison | Psychologist | 610 Pittsford Victor Rd, Pittsford, NY 14534 | 2016-04-27 |
| 1942677323 | Dr. Anthony L. Ricci, Dds | Dentist | 135 Sully's Trail Suite 1, Pittsford, NY 14534 | 2015-09-01 |
| 1164782132 | George Francis Walsh Jr. | Obstetrics & Gynecology | 16 Kerrygold Way, Pittsford, NY 14534 | 2012-05-23 |
| 1346531878 | Samantha Lynne Saccento | Massage Therapist | 135 Sully's Trail Suite 6, Pittsford, NY 14534 | 2011-05-02 |
| 1093027252 | Brandon James Erdle | Dermatology | 6 Rambling Woods, Pittsford, NY 14534 | 2010-07-05 |
| 1760711576 | Finger Lakes Infectious Diseases, Pllc | Internal Medicine | 10 Brakenberry Road, Pittsford, NY 14534 | 2009-12-08 |
| 1477789030 | Mary Lou Testa | Counselor | 20 Tobey Village Way, Suite 7, Pittsford, NY 14534 | 2009-06-09 |
| Find all providers in zip 14534 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101848 | Venus Hardy | Psychologist | 39 Bowery, 597, New York, NY 10002-6702 | 2017-12-29 |
| 1588031827 | Elizabeth Chapman | Psychologist | 1051 Riverside Dr # 111, C/o Jules Ranz, New York, NY 10032-1007 | 2015-08-21 |
| 1790023042 | David Michael Feuer | Psychologist | 30 W. 9th St., 5c, New York, NY 10011 | 2013-01-22 |
| 1790952570 | Beautiful Mind Medical, PC | Psychologist | 2218 Kimball St, Suite M5, Brooklyn, NY 11234-5103 | 2008-05-12 |
| 1205038130 | Albert M. Sax | Psychologist | 11 East 87th St, New York, NY 10128-0527 | 2007-06-04 |
| 1124237698 | Susan Margaret Deakins | Psychologist | 245 W 107th St Apt 3h, New York, NY 10025-3052 | 2007-05-22 |
| 1710107719 | Frank Conforti | Psychologist | 575 75th Street, Brooklyn, NY 11209 | 2007-05-01 |
| 1578781100 | Michael Clifford Piercey | Psychologist | 189 Spring Street, South Salem, NY 10590-0449 | 2007-04-20 |
| 1427274596 | Rivka Bekerman Greenberg | Psychologist | 350 W 57th St, 3a, New York, NY 10019-3758 | 2007-04-17 |
| 1689898983 | Jeanette E Cueva | Psychologist | 40 Park Ave Apt 1k, New York, NY 10016-3456 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
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| 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.