| J. S. Byrne Psychological Services, Pc | |
|
160 Allens Creek Rd Ste 160 Rochester NY 14618-3312 | |
| (585) 340-7135 | |
| (607) 871-2100 |
| Full Name | J. S. Byrne Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 160 Allens Creek Rd Ste 160, Rochester, New York |
| Authorized Official Name and Position | James Stephen Byrne (PRESIDENT) |
| Authorized Official Contact | 5853407135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. S. Byrne Psychological Services, Pc 160 Allens Creek Rd Ste 160 Rochester NY 14618-3312 Ph: (585) 340-7135 | J. S. Byrne Psychological Services, Pc 160 Allens Creek Rd Ste 160 Rochester NY 14618-3312 Ph: (585) 340-7135 |
| NPI Number | 1336724335 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Medicare PECOS PAC ID | 7719394410 |
|---|---|
| Medicare Enrollment ID | O20210324003323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336724335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | James Stephen Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558689497 PECOS PAC ID: 0244528594 Enrollment ID: I20210326001757 |
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