Active NPI
Ronald Bassman, PHD
- Psychologist
- Albany, NY
National Provider Identifier
1497799530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 012672-1
- Practice address
- 1674 Western Ave
Albany, NY 12203-4218 - Phone
- (518) 456-1820
- Fax
- (518) 456-1820
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 012672-1 | NY | Primary |
Addresses
Primary practice location
1674 Western Ave
Albany, NY 12203-4218
Mailing address
1674 Western Ave
Albany, NY 12203-4218
Phone (518) 456-1820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012672-1 | NY | MD | Psychologist |
| 012672 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Specialists, PLLC | Past | Accepting new patients | |
| Center for Disability Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Latham, NY
- NPI 1992809016
-
- Case Management Agency
- Albany, NY
- NPI 1073681557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212192000000",
"number": "1497799530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1674 WESTERN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122034218",
"telephone_number": "518-456-1820",
"fax_number": "518-456-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1674 WESTERN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122034218",
"telephone_number": "518-456-1820",
"fax_number": "518-456-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSMAN",
"first_name": "RONALD",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2008-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "012672-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.