DR. JAY ALLEN SUPNICK PH.D.
NPI 1699717280
Psychologist in Rochester, NY

Active since June 11, 2006PECOS Enrolled
448 WHITE SPRUCE BLVD, ROCHESTER, NY 14623(585) 424-5680 Get Directions Write a Review

NPPES record last updated: February 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jay Allen Supnick Ph.d. NPPES

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

DR. JAY ALLEN SUPNICK PH.D. (NPI 1699717280) is an individual psychologist in Rochester, New York, licensed in New York (8678) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699717280
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JAY ALLEN SUPNICKCredential: PH.D.
Location Address448 WHITE SPRUCE BLVDRochester, NY 14623-1608
Mailing Address448 White Spruce BlvdRochester, NY 14623-1608 · (585) 424-5680
Sole ProprietorYes
Enumeration DateJune 11, 2006
Last NPPES UpdateFebruary 24, 2011
NPI 1699717280 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 · 8678
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.
448 WHITE SPRUCE BLVD, Rochester, NY 14623

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jay Allen Supnick Ph.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.

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Psychiatry)
448 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
Psychologist (Counseling)
448 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
Marriage & Family Therapist
448 WHITE SPRUCE BLVD
ROCHESTER, NY 14623

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 Jay Supnick's NPI number?

The NPI number for Jay Supnick is 1699717280. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Jay Supnick located?

Jay Supnick practices at 448 White Spruce Blvd, Rochester, NY 14623. The listed phone number is (585) 424-5680.

What is Jay Supnick's specialty?

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

Is Jay Supnick enrolled in Medicare?

Yes. Jay Supnick is registered in the Medicare PECOS enrollment system.

What insurance does Jay Supnick accept?

Health plans from Providence Health Plan list Jay Supnick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jay Supnick was last updated on February 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.