PENFIELD PSYCHIATRY PC
NPI 1649544115
Psychiatry & Neurology - Psychiatry in Penfield, NY

Active since March 01, 2012
421 PENBROOKE DR, SUITE 12 A, PENFIELD, NY 14526(585) 388-6000(585) 388-6004 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Penfield Psychiatry Pc NPPES

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

PENFIELD PSYCHIATRY PC (NPI 1649544115) is a healthcare organization registered as a psychiatry in Penfield, New York and active in the NPI registry since March 2012. The organization lists Robert A Stern, President, as its authorized official.

NPPES Registry Identity

NPI1649544115
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePENFIELD PSYCHIATRY PC
Location Address421 PENBROOKE DR, SUITE 12 APenfield, NY 14526-2045
Mailing Address421 Penbrooke Dr, Suite 12 APenfield, NY 14526-2045 · (585) 388-6000 · Fax (585) 388-6004
Fax(585) 388-6004
Organization SubpartNo
Authorized OfficialRobert A SternPresident · (585) 388-6000
Enumeration DateMarch 1, 2012
Last NPPES UpdateOctober 30, 2012
✔ NPI 1649544115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 164491
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
421 PENBROOKE DR, Penfield, NY 14526

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penfield Psychiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20121126000531Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Penfield Psychiatry PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner24
Clinical Social Worker13
Clinical Psychologist4
Mental Health Counselor4
Psychiatry2

Nearest to this location (20)

See all 47
Clinical Psychologist
NPI 1114895356
2060 FAIRPORT NINE MILE POINT RD STE 400
Penfield, NY 14526
(585) 388-6000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669214532
2060 FAIRPORT NINE MILE POINT RD STE 400
Penfield, NY 14526
(585) 388-6000
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1891019881
481 PENBROOKE DR STE 6
Penfield, NY 14526
(585) 388-6000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043053366
2060 FAIRPORT NINE MILE POINT RD
Penfield, NY 14526
(585) 388-6000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922436765
481 PENBROOKE DR STE 6
Penfield, NY 14526
(585) 388-6000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1578697223
441 PENBROOKE DR STE 10
Penfield, NY 14526
(585) 388-6000
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1760664338
2130 FIVE MILE LINE RD
Penfield, NY 14526
(585) 690-0890
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1124052527
1387 FAIRPORT RD BUILDING 600 SUITE 660
Fairport, NY 14450
(585) 388-8020
✔ PECOS✔ Accepts Medicare2.8 mi
Clinical Social Worker
NPI 1316062466
500 HELENDALE RD SUITE 155
Rochester, NY 14609
(585) 234-3561
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1326561515
295 TROY RD # 29
Rochester, NY 14618
(585) 388-6000
✔ PECOS✔ Accepts Medicare6.3 mi
Nurse Practitioner
NPI 1982059432
58 PERSHING DR
Rochester, NY 14609
(585) 286-7193
✔ PECOS7.0 mi
Clinical Social Worker
NPI 1548561996
1231 WOODHULL RD
Webster, NY 14580
(585) 208-2060
✔ PECOS8.2 mi
Nurse Practitioner
NPI 1659989804
1425 PORTLAND AVE STE 206 WILSON BLDG
Rochester, NY 14621
(585) 922-4698
✔ PECOS8.5 mi
Nurse Practitioner
NPI 1205563426
1860 SOUTH AVE
Rochester, NY 14620
(585) 273-1776
✔ PECOS8.9 mi
Nurse Practitioner
NPI 1609009927
601 ELMWOOD AVE
Rochester, NY 14642
(585) 275-4501
✔ PECOS✔ Accepts Medicare9.3 mi
Clinical Social Worker
NPI 1063725489
490 E RIDGE RD
Rochester, NY 14621
(585) 922-2500
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1790519072
300 CRITTENDEN BLVD
Rochester, NY 14642
(315) 604-1832
✔ PECOS9.5 mi
Clinical Social Worker
NPI 1255588836
81 LAKE AVE
Rochester, NY 14608
(585) 368-6900
✔ PECOS✔ Accepts Medicare9.6 mi
Mental Health Counselor
NPI 1033836481
81 LAKE AVE
Rochester, NY 14608
(585) 368-6901
✔ PECOS✔ Accepts Medicare9.6 mi
Mental Health Counselor
NPI 1508591058
81 LAKE AVE
Rochester, NY 14608
(585) 368-6901
✔ PECOS✔ Accepts Medicare9.6 mi
See all 47 clinicians

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

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 Penfield Psychiatry PC's NPI number?

The NPI number for Penfield Psychiatry PC is 1649544115. It was assigned to this organization in the NPPES registry on March 1, 2012.

Where is Penfield Psychiatry PC located?

Penfield Psychiatry PC is located at 421 Penbrooke Dr Suite 12 A, Penfield, NY 14526. The listed phone number is (585) 388-6000.

What is Penfield Psychiatry PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Penfield Psychiatry PC enrolled in Medicare?

Yes. Penfield Psychiatry PC is registered in the Medicare PECOS enrollment system.

When is Penfield Psychiatry PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Penfield Psychiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 5 Medicare specialties reassign their Medicare billing to Penfield Psychiatry PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (24), Clinical Social Worker (13) and Clinical Psychologist (4). Of these, 4 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Penfield Psychiatry PC was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.