| Kelly Newby, Psy.d., Pllc | |
|
2450 W Ridge Rd Ste 303 Rochester NY 14626-3037 | |
| (585) 448-0936 | |
| (585) 448-0973 |
| Full Name | Kelly Newby, Psy.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2450 W Ridge Rd Ste 303, Rochester, New York |
| Authorized Official Name and Position | Kelly Newby (OWNER) |
| Authorized Official Contact | 5854480936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Newby, Psy.d., Pllc 2450 W Ridge Rd Ste 303 Rochester NY 14626-3037 Ph: (585) 448-0936 | Kelly Newby, Psy.d., Pllc 2450 W Ridge Rd Ste 303 Rochester NY 14626-3037 Ph: (585) 448-0936 |
| NPI Number | 1538678917 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 10/18/2019 |
| Medicare PECOS PAC ID | 0840558201 |
|---|---|
| Medicare Enrollment ID | O20171213001870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538678917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Theresa B Mcveigh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700127784 PECOS PAC ID: 6103070727 Enrollment ID: I20130207000399 |
| Provider Name | Krista M Gascon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316241094 PECOS PAC ID: 2668695412 Enrollment ID: I20140522002295 |
| Provider Name | Kelly L Newby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144494485 PECOS PAC ID: 4486933686 Enrollment ID: I20161110001825 |
| Provider Name | Melissa E Mccauley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033544077 PECOS PAC ID: 2961804547 Enrollment ID: I20210706002697 |
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