MEDICARE: DR. LAUREN MONTHIE PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	027743	NY

General Provider Information

NPI Number	:	1235094756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAUREN MONTHIE PSYD

Provider Business Mailing Address
First Line	:	2301 WESTSIDE DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14624-1933
Country	:	US
Telephone Number	:	585-594-6185
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 COLLEGE GREENE DR
Second Line	:
City	:	NORTH CHILI
State	:	NY
Zip	:	14514-1240
Country	:	US
Telephone Number	:	585-594-6720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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