Rudy Nydegger PHD, Abpp, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5721 Issued in NY

Legal business name

RUDY NYDEGGER PHD, ABPP, PLLC

Practice address

2317 Balltown Rd.
Suite 203
Schenectady, NY 12309

Phone

(518) 377-4398

Fax

(518) 384-3475

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rudy V Nydegger, PHD

Title

Owner

Phone

(518) 377-4398

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1255680344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 BALLTOWN RD.",
            "address_2": "SUITE 203",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12309",
            "telephone_number": "518-377-4398",
            "fax_number": "518-384-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 BALLTOWN RD.",
            "address_2": "SUITE 203",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12309",
            "telephone_number": "518-377-4398",
            "fax_number": "518-384-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDY NYDEGGER PHD, ABPP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "NYDEGGER",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-377-4398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "5721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03537919",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence J Routenberg, M.D.
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• Marcia S Ruland, PHARMACIST

• Psychologist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.