Healthcare Provider Details

I. General information

NPI: 1467074179
Provider Name (Legal Business Name): DANIEL BRICE KAY PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DANIEL BRICE HANEY

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2337 S CLINTON AVE
ROCHESTER NY
14618-2645
US

IV. Provider business mailing address

300 CRITTENDEN BLVD BOX PSYCH
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-341-7575
  • Fax:
Mailing address:
  • Phone: 585-341-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number10085312-2501
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number027975
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: