| Psychiatric Services Group | |
|
490 Ridge Rd E Rochester NY 14621-1229 | |
| (585) 922-2500 | |
| (585) 922-2664 |
| Full Name | Psychiatric Services Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 490 Ridge Rd E, Rochester, New York |
| Authorized Official Name and Position | Maxine Kinard (BUSINESS SYSTEMS MANAGER) |
| Authorized Official Contact | 5859221122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Services Group 490 Ridge Rd E Rochester NY 14621-1229 Ph: (585) 922-2500 | Psychiatric Services Group 490 Ridge Rd E Rochester NY 14621-1229 Ph: (585) 922-2500 |
| NPI Number | 1437181963 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437181963 | NPI | - | NPPES |
| 01505893 | Medicaid | NY | |
| G0184705590 | Other | NY | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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