Leigh Rust

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023808 Issued in NY

Practice address

2174 Hewlett Ave Ste 200
Merrick, NY 11566-3620

Phone

(631) 486-0670

NPI assigned

Aug 18, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rust Psychology PLLC

  • Clinical Psychologist
  • Commack, NY
  • NPI 1336013796
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1124573118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 HEWLETT AVE STE 200",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663620",
            "telephone_number": "516-858-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 HEWLETT AVE STE 200",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663620",
            "telephone_number": "631-486-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "LEIGH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Beth Ruben, MA,OTR/L
• Steven David Rubin, MD
• Christina Ruisi, P.T.
• Jaime Ruisi
• Joseph M Ruisi, P.T.
• Kerry Rut, D.O.
• William J Ryan, P.T.
• S. C. Schwartz, D.D.S., PLLC
• Allison Sabbagh, LCAT
• Sacred Space Therapy

• Clinical Psychologist in Merrick, NY
• Providers in Merrick, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.