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

Dr. Jay Allen Supnick, PHD

Individual provider Psychologist · NPI 1699717280

Dr. Jay Allen Supnick, PHD is a Clinical Psychologist in Rochester, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
42
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2006
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

448 White Spruce Blvd
Rochester, NY 14623-1608
Phone: (585) 424-5680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 8678 (NY)

Record details

NPI number1699717280
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 11, 2006
Last updated in NPPESFebruary 24, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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