Rudy V Nydegger, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5721 Issued in NY

Practice address

2317 Balltown Rd
Suite 203
Schenectady, NY 12309-2339

Phone

(518) 377-4398

Fax

(518) 384-3750

NPI assigned

Jan 25, 2006

Last updated

Apr 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

• Rudy Nydegger PHD, Abpp, PLLC

  • Psychologist
  • Schenectady, NY
  • NPI 1255680344
  Authorized official Same address or phone

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1447220090",
    "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": "123092339",
            "telephone_number": "518-377-4398",
            "fax_number": "518-384-3750"
        },
        {
            "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": "123092339",
            "telephone_number": "518-377-4398",
            "fax_number": "518-384-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYDEGGER",
        "first_name": "RUDY",
        "middle_name": "V",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "005721",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "5721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "41107",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WORKERS' COMP",
            "identifier": "S05721-6B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "A124956",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/HEALTHNOW",
            "identifier": "000471951001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1014721",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "141787916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APA PARTNERS",
            "identifier": "1417879160000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS OFFICE WORKERS' COMP",
            "identifier": "3472890000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03537919",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "110345",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00588954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Norton, LMHC
• Nott Street Medical, PLLC
• Ashley Novak, OTR/L
• Lawrence J Numrich, RPH
• Natalie Nussbaum, PH.D.
• Nysarc, Inc Schenectady Co Chapter
• Michael J O Brien, MD
• Lawrence A. O Toole, LCSW
• Daniel O'Brien
• Mary C O'Brien, RN

• 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 Apr 16, 2015; 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.