Healthcare Provider Details

I. General information

NPI: 1295652147
Provider Name (Legal Business Name): CLINICAL PSYCHOLOGISTS OF ROCHESTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 ELMWOOD AVE
ROCHESTER NY
14620-2933
US

IV. Provider business mailing address

877 ELMWOOD AVE
ROCHESTER NY
14620-2933
US

V. Phone/Fax

Practice location:
  • Phone: 585-739-5155
  • Fax:
Mailing address:
  • Phone: 585-739-5155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER BLENDER
Title or Position: OWNER
Credential: PHD
Phone: 585-739-5155