Provider Demographics
NPI:1235861576
Name:RICOTTA, AMY J (LMHC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:RICOTTA
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2062 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-1933
Mailing Address - Country:US
Mailing Address - Phone:585-506-5012
Mailing Address - Fax:
Practice Address - Street 1:95 ALLENS CREEK RD STE 215
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3247
Practice Address - Country:US
Practice Address - Phone:585-206-1091
Practice Address - Fax:585-708-2391
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014384101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health