National Provider Identifier
Alysa Macmillen, PSYD
Alysa Macmillen, PSYD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Henrietta, NY and a listed phone number of (585) 506-6520.
Profile Overview
- NPI
- 1679201909
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- August 14, 2022
- Last Updated
- August 14, 2022
Practice Location
- 3045 E Henrietta RD
- Henrietta, NY 14467-9300
Phone: (585) 506-6520
Specialties
- Clinical Psychologist (103TC0700X)
- Cognitive & Behavioral Psychologist (103TB0200X)
Full Record
- NPI
- 1679201909
- Entity Type
- Individual
- Last Name
- Macmillen
- First Name
- Alysa
- Name Prefix
- Dr.
- Credential
- PSYD
- Mailing Street Address
- 3045 E Henrietta RD
- Mailing City
- Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14467-9300
- Mailing Country
- US
- Mailing Phone
- (585) 506-6520
- Practice Street Address
- 3045 E Henrietta RD
- Practice City
- Henrietta
- Practice State
- NY
- Practice ZIP Code
- 14467-9300
- Practice Country
- US
- Practice Phone
- (585) 506-6520
- Enumeration Date
- August 14, 2022
- Last Updated
- August 14, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 14, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X), Cognitive & Behavioral Psychologist (103TB0200X)