Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Autumn Marie Gallegos Greenwich, PHD

Individual provider Clinical Psychologist · NPI 1376891754

Dr. Autumn Marie Gallegos Greenwich, PHD is a Clinical Psychologist in Canandaigua, New York. Qualified in 2010, 16 years ago. Practices with University of Rochester Department of Psychiatry Clinical Group, a 80-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

400 Fort Hill Ave
Canandaigua, NY 14424-1159
Phone: (585) 275-6671
Fax: (585) 273-1082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 019439 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 19439 (NY)

Record details

NPI number1376891754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 16, 2012
Last updated in NPPESJuly 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Of Rochester Department Of Psychiatry Clinical Group — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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