Provider Demographics
NPI:1093177693
Name:MICHAEL LEMBARIS, PSY.D., PSYCHOLOGICAL SERVICES, P.C.
Entity type:Organization
Organization Name:MICHAEL LEMBARIS, PSY.D., PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEMBARIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:619-887-4068
Mailing Address - Street 1:160 ALLENS CREEK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3309
Mailing Address - Country:US
Mailing Address - Phone:619-887-4068
Mailing Address - Fax:866-687-9706
Practice Address - Street 1:160 ALLENS CREEK RD STE 100
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3309
Practice Address - Country:US
Practice Address - Phone:619-887-4068
Practice Address - Fax:866-687-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-23
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28191103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty