ODESSA D DESPOT
NPI 1699080366
Psychologist in Rochester, NY

Active since August 18, 2010PECOS Enrolled
1455 E RIDGE RD, ROCHESTER, NY 14621(585) 922-4698(585) 922-5702 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odessa D Despot NPPES

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

ODESSA D DESPOT (NPI 1699080366) is an individual psychologist in Rochester, New York, licensed in New York (020147) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699080366
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameODESSA D DESPOT
Location Address1455 E RIDGE RDRochester, NY 14621-2006
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Fax(585) 922-5702
Sole ProprietorNo
Enumeration DateAugust 18, 2010
Last NPPES UpdateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
NPI 1699080366 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 · 020147
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.
1455 E RIDGE RD, Rochester, NY 14621

Other Identifiers 3

OtherWVE061NY · Agency Medicare Id#
Other1285628552NY · Agency Npi#
Other00355940NY · Agency Medicaid Provider Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Odessa D Despot 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.

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.

Student in an Organized Health Care Education/Training Program
1455 E RIDGE RD
ROCHESTER, NY 14621
Nurse Practitioner (Adult Health)
1455 E RIDGE RD
ROCHESTER, NY 14621
Dentist
1455 E RIDGE RD
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1455 E RIDGE RD
ROCHESTER, NY 14621
Family Medicine
1455 E RIDGE RD
ROCHESTER, NY 14621
Counselor (Mental Health)
1455 E RIDGE RD
ROCHESTER, NY 14621
Pharmacist (Ambulatory Care)
1455 E RIDGE RD
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1455 E RIDGE RD
ROCHESTER, NY 14621

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 Odessa Despot's NPI number?

The NPI number for Odessa Despot is 1699080366. It was assigned to this individual provider in the NPPES registry on August 18, 2010.

Where is Odessa Despot located?

Odessa Despot practices at 1455 E Ridge Rd, Rochester, NY 14621. The listed phone number is (585) 922-4698.

What is Odessa Despot's specialty?

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

Is Odessa Despot enrolled in Medicare?

Yes. Odessa Despot is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Odessa Despot was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.