Provider Demographics
NPI:1336724335
Name:J. S. BYRNE PSYCHOLOGICAL SERVICES, PC
Entity Type:Organization
Organization Name:J. S. BYRNE PSYCHOLOGICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:585-340-7135
Mailing Address - Street 1:160 ALLENS CREEK RD STE 160
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3312
Mailing Address - Country:US
Mailing Address - Phone:585-340-7135
Mailing Address - Fax:607-871-2100
Practice Address - Street 1:160 ALLENS CREEK RD STE 160
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3312
Practice Address - Country:US
Practice Address - Phone:585-340-7135
Practice Address - Fax:607-871-2100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty