National Provider Identifier
Ryan Patrick McGillicuddy, PSYD
Ryan Patrick McGillicuddy, PSYD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (630) 200-6895.
Profile Overview
- NPI
- 1922885433
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- September 11, 2023
- Last Updated
- September 11, 2023
Practice Location
- 154 Simpson RD
- Rochester, NY 14617-4646
Phone: (630) 200-6895
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1922885433
- Entity Type
- Individual
- Last Name
- McGillicuddy
- First Name
- Ryan
- Middle Name
- Patrick
- Credential
- PSYD
- Mailing Street Address
- 154 Simpson RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-4646
- Mailing Country
- US
- Mailing Phone
- (630) 200-6895
- Practice Street Address
- 154 Simpson RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-4646
- Practice Country
- US
- Practice Phone
- (630) 200-6895
- Enumeration Date
- September 11, 2023
- Last Updated
- September 11, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 10, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)