DR. LYNDA J. DIMITROFF PHD, MSED, BSN, RN
NPI 1255830394
Counselor - Mental Health in Rochester, NY

Q: What is Lynda J. Dimitroff's NPI number?

The NPI number for Lynda J. Dimitroff is 1255830394. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Q: What is Lynda J. Dimitroff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Lynda J. Dimitroff enrolled in Medicare?

No. Lynda J. Dimitroff has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since February 05, 2018Opted out of Medicare · through Jan 1, 2028

490 E RIDGE RD, ROCHESTER, NY 14621(585) 922-2735(585) 922-2646 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lynda J. Dimitroff Phd, Msed, Bsn, Rn NPPES

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

DR. LYNDA J. DIMITROFF PHD, MSED, BSN, RN (NPI 1255830394) is an individual mental health provider in Rochester, New York and active in the NPI registry since February 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1255830394

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDR. LYNDA J. DIMITROFFCredential: PHD, MSED, BSN, RN

Location Address490 E RIDGE RDRochester, NY 14621-1229

Mailing Address490 E Ridge RdRochester, NY 14621-1229 · (585) 922-2735 · Fax (585) 922-2646

Phone(585) 922-2735

Fax(585) 922-2646

Sole ProprietorNo

Enumeration DateFebruary 5, 2018

✔ NPI 1255830394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

490 E RIDGE RD, Rochester, NY 14621

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lynda J. Dimitroff Phd, Msed, Bsn, Rn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

TODD GEROME MIX LMSW

Counselor (Mental Health)