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

Ontario County

Organization Psychologist · NPI 1003802190

Ontario County is a Psychologist in Canandaigua, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Specialties on file
6
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Practice location Address checks out

3019 County Complex Dr
Canandaigua, NY 14424-9505
Phone: (585) 396-4363
Fax: (585) 396-4993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6879100A (NY)
Psychologist Taxonomy 103T00000X · Licence 6879100A (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6879100A (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6879100A (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 6879100A (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 6879100A (NY)

Record details

NPI number1003802190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Mitchell — Director · (585) 396-4363
NPI enumeratedSeptember 23, 2005
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing address3019 County Complex Dr, Canandaigua, NY 14424-9505

Other providers in Canandaigua