Robert P Nussbaum, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

005720-4 Issued in NY

Practice address

59 N Main St Ste 201
Liberty, NY 12754-1888

Phone

(800) 576-7437

Fax

(800) 576-7437

NPI assigned

Nov 28, 2006

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Robert P. Nussbaum PH.D Dba Solutions for Health

  • Clinical Psychologist
  • Liberty, NY
  • NPI 1194877738
  NPD (past) Authorized official
• Meland-Lewis Psychological Services PLLC

  • Psychologist
  • Bloomingburg, NY
  • NPI 1326472903
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467528844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127340560",
            "telephone_number": "718-436-8463",
            "fax_number": "845-292-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 N MAIN ST STE 201",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541888",
            "telephone_number": "800-576-7437",
            "fax_number": "800-576-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005720-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Franca Neuber, MLSW
• Kimberly T Neves, RN
• Karen Ann Nieke
• Gail Lucille Nistico, PHYSICAL THERAPY ASS
• Michael Noren
• Linda Marks Nuzzo, LCSW
• Roseann O'Connor, LCSWR
• Brenna O'Malley, RD
• Edward Joseph O'Malley, OTR/L
• Santa E Ocasio, RN

• Clinical Psychologist in Liberty, NY
• Providers in Liberty, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.