National Provider Identifier
Ilisa Stein, PSYD
Ilisa Stein, PSYD is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 364-2553.
Profile Overview
- NPI
- 1043685134
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- December 01, 2015
- Last Updated
- November 03, 2025
Practice Location
- 130 Allens Creek RD Ste 120
- Rochester, NY 14618-3318
Phone: (585) 364-2553
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1043685134
- Entity Type
- Individual
- Last Name
- Stein
- First Name
- Ilisa
- Name Prefix
- Dr.
- Credential
- PSYD
- Provider Other Last Name
- Naukam
- Provider Other First Name
- Ilisa
- Provider Other Middle Name
- Anne
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- PSYD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 130 Allens Creek RD Ste 120
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-3318
- Mailing Country
- US
- Mailing Phone
- (585) 364-2553
- Practice Street Address
- 130 Allens Creek RD Ste 120
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-3318
- Practice Country
- US
- Practice Phone
- (585) 364-2553
- Enumeration Date
- December 01, 2015
- Last Updated
- November 03, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 03, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)