Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central New York Medical Practice, PLLC

Organization Clinical Psychologist · NPI 1962765016

Central New York Medical Practice, PLLC is a Clinical Psychologist in Syracuse, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 E Genesee St
Syracuse, NY 13202-3130
Phone: (315) 464-3157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1962765016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Myers — Executive Director · (315) 798-4040
NPI enumeratedJune 22, 2012
Last updated in NPPESNovember 12, 2012
Mailing address1601 Armory Dr, Building C, Utica, NY 13501-5405

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