National Provider Identifier
Odessa D Despot
Odessa D Despot is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 922-4698.
Profile Overview
- NPI
- 1699080366
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- August 18, 2010
- Last Updated
- November 10, 2023
Practice Location
- 1455 E Ridge RD
- Rochester, NY 14621-2006
Phone: (585) 922-4698
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1699080366
- Entity Type
- Individual
- Last Name
- Despot
- First Name
- Odessa
- Middle Name
- D
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 1455 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2006
- Practice Country
- US
- Practice Phone
- (585) 922-4698
- Practice Fax
- (585) 922-5702
- Enumeration Date
- August 18, 2010
- Last Updated
- November 10, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 10, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)
- Other Identifiers
- WVE061 (NY, Agency Medicare Id#), 1285628552 (NY, Agency NPI#), 00355940 (NY, Agency Medicaid Provider Id)