DR. AUTUMN MARIE GALLEGOS GREENWICH PH.D.
NPI 1376891754
Psychologist - Clinical in Canandaigua, NY
About Dr. Autumn Marie Gallegos Greenwich Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AUTUMN MARIE GALLEGOS GREENWICH PH.D. (NPI 1376891754) is an individual clinical provider in Canandaigua, New York, licensed in New York (019439) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Autumn Marie Gallegos Greenwich Ph.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Autumn Gallegos Greenwich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 191 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CANANDAIGUA, NY 14424
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 Autumn Gallegos Greenwich's NPI number?
The NPI number for Autumn Gallegos Greenwich is 1376891754. It was assigned to this individual provider in the NPPES registry on August 16, 2012. The provider is also known as Dr. Autumn Marie Gallegos Ph.D..
Where is Autumn Gallegos Greenwich located?
Autumn Gallegos Greenwich practices at 400 Fort Hill Ave, Canandaigua, NY 14424. The listed phone number is (585) 275-6671.
What is Autumn Gallegos Greenwich's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Autumn Gallegos Greenwich enrolled in Medicare?
Yes. Autumn Gallegos Greenwich 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.
Which organization bills Medicare for Autumn Gallegos Greenwich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Gallegos Greenwich reassigns Medicare benefits to University Of Rochester Department Of Psychiatry Clinical Group (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 Autumn Gallegos Greenwich'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 Autumn Gallegos Greenwich was last updated on July 6, 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.
# Dr. Autumn Marie Gallegos Greenwich, PH.D. · NPI 1376891754
Clinical provider in Canandaigua, New York. Individual provider, active in the CMS NPPES registry since August 16, 2012.
## Identity
- **NPI:** 1376891754 (Entity type: Individual)
- **Enumerated:** August 16, 2012
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 019439 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 FORT HILL AVE, Canandaigua, NY 14424-1159
- **Phone:** (585) 275-6671 · **Fax:** (585) 273-1082
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** University Of Rochester Department Of Psychiatry Clinical Group (NPI 1326088808, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1376891754) · Data from the CMS NPPES public registry.