National Provider Identifier

John Dimaya Sambueno, PSY.D.

John Dimaya Sambueno, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 247-6858.

NPI 1518256627Rochester, NYClinical Psychologist

Profile Overview

NPI
1518256627
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
March 30, 2011
Last Updated
March 30, 2011

Practice Location

  • 439 Paul RD
  • Rochester, NY 14624-4721

Phone: (585) 247-6858

Mailing Address

  • 38 Rue De La Comptine
  • Gatineau, Quebec 829
  • CA

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1518256627
Entity Type
Individual
Last Name
Sambueno
First Name
John
Middle Name
Dimaya
Name Prefix
Dr.
Credential
PSY.D.
Provider Other Last Name
Ramos
Provider Other First Name
John
Provider Other Middle Name
Sambueno
Provider Other Last Name Type Code
1
Mailing Street Address
38 Rue De La Comptine
Mailing City
Gatineau
Mailing State
Quebec
Mailing ZIP Code
829
Mailing Country
CA
Mailing Phone
(819) 503-1285
Practice Street Address
439 Paul RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-4721
Practice Country
US
Practice Phone
(585) 247-6858
Practice Fax
(585) 247-2014
Enumeration Date
March 30, 2011
Last Updated
March 30, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)