Dr. Janette Lynn Funk, PhD
Psychologist in Rochester, NY. Individual provider (NPI-1).
NPI number1477866176
StatusActive
Last updated in NPPESJul 22, 2010
Details
- NPI
- 1477866176
- Entity type
- Individual (NPI-1)
- Name
- Dr. Janette Lynn Funk
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2010
- Last updated
- Jul 22, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 018667-1 | NY | Yes |
Practice location
1577 South AveRochester, NY 14620-3914
Phone 413-884-4341
Mailing address
26 Avonmore WayPenfield, NY 14526-1624
Phone 413-884-4341 · Fax 585-273-1117
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