DR. ILISA STEIN PSYD
NPI 1043685134
Psychologist in Rochester, NY

Active since December 01, 2015PECOS EnrolledAccepts Medicare Assignment
130 ALLENS CREEK RD STE 120, ROCHESTER, NY 14618(585) 364-2553 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Jun 11, 2023, Oct 19, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Ilisa Stein Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ILISA STEIN PSYD (NPI 1043685134) is an individual psychologist in Rochester, New York, licensed in New York (021427) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043685134
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ILISA STEINCredential: PSYD
Location Address130 ALLENS CREEK RD STE 120Rochester, NY 14618-3318
Mailing Address130 Allens Creek Rd Ste 120Rochester, NY 14618-3318 · (585) 364-2553
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 1, 2015
Last NPPES UpdateNovember 3, 20254 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1043685134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 021427
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
130 ALLENS CREEK RD STE 120, Rochester, NY 14618

Other Names 1

Former Name (1)Dr. Ilisa Anne Naukam Psyd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ilisa Stein Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062922800
PECOS Enrollment IDI20250610003026
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilisa Stein's NPI number?

The NPI number for Ilisa Stein is 1043685134. It was assigned to this individual provider in the NPPES registry on December 1, 2015. The provider is also known as Dr. Ilisa Anne Naukam Psyd.

Where is Ilisa Stein located?

Ilisa Stein practices at 130 Allens Creek Rd Ste 120, Rochester, NY 14618. The listed phone number is (585) 364-2553.

What is Ilisa Stein's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ilisa Stein enrolled in Medicare?

Yes. Ilisa Stein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ilisa Stein was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.