OrganizationActive
Camps Canandaigua LLC
NPI 1033574009 · Behavioral Neurology & Neuropsychiatry Physician · Canandaigua, NY
Provider details
- NPI number
- 1033574009
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marilyn Rennie, Office Manager(585) 905-0061
- License
- 176316 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3200 West Street
500
Canandaigua, NY 14424
Phone: (585) 905-0061
Fax: (585) 412-6612
Street-level locationGet directions
Mailing address
3200 West Street
Canandaigua, NY 14424
Registry dates
- Enumerated
- 2015-12-17
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.