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DR. STEVEN FEDCHAK PSY.D.
NPI 1063290716
Psychologist - Clinical Child & Adolescent in Rochester, NY

Active since September 14, 2023PECOS Enrolled
200 E RIVER RD, ROCHESTER, NY 14623(716) 541-4743 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Steven Fedchak Psy.d. NPPES

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

DR. STEVEN FEDCHAK PSY.D. (NPI 1063290716) is an individual clinical child & adolescent provider in Rochester, New York and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063290716
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. STEVEN FEDCHAKCredential: PSY.D.
Location Address200 E RIVER RDRochester, NY 14623-1212
Mailing Address601 Elmwood Ave Box 671Rochester, NY 14642-0001
Phone(716) 541-4743
Sole ProprietorNo
Enumeration DateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1063290716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
200 E RIVER RD, Rochester, NY 14623
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Steven Fedchak Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Steven Fedchak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Development Clinic
1.0 mi
Developmental - Behavioral Pediatrics
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 31 clinicians in this Medicare group
NPI 1346286895 (585) 275-7787

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN KAY PALICKI DO
Pediatrics (Developmental - Behavioral Pediatrics)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 275-2986
MARRA CHOFFIN
Counselor (Mental Health)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 279-7800
MRS. LISA RAE LUXEMBERG
Social Worker
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 275-2986
STEPHANIE NEUFEGLISE LMSW
Social Worker
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 273-3438
NICOLE J WALSH PNP
Nurse Practitioner (Pediatrics)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 275-2808
AMY BERNARDONI
Psychologist (Clinical)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 275-2986
DR. NICHOLAS I KILMER M.D.
Radiology (Diagnostic Radiology)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 784-2985
BRYAN S ZELLER NP
Nurse Practitioner (Psychiatric/Mental Health)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 784-2985

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 Steven Fedchak's NPI number?

The NPI number for Steven Fedchak is 1063290716. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Steven Fedchak located?

Steven Fedchak practices at 200 E River Rd, Rochester, NY 14623. The listed phone number is (716) 541-4743.

What is Steven Fedchak's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Steven Fedchak enrolled in Medicare?

Yes. Steven Fedchak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Steven Fedchak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Fedchak reassigns Medicare benefits to Pediatric Development Clinic (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Steven Fedchak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Steven Fedchak was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.