David S. Bush, PH.D., P.a.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY003425 Issued in FL

Legal business name

DAVID S. BUSH, PH.D., P.A.

Practice address

11211 Prosperity Farms Rd
Suite C206
Palm Beach Gardens, FL 33410-3446

Phone

(561) 622-8881

Fax

(561) 622-8018

NPI assigned

May 21, 2012

Last updated

May 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David S Bush, PH.D.NPI 1295803054

Title

President

Phone

(561) 622-8881

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Samuel Bush, PH.D.

  • Clinical Neuropsychologist
  • Palm Beach Gardens, FL
  • NPI 1295803054
  Authorized official Same address or phone

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1740540046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "SUITE C206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-622-8881",
            "fax_number": "561-622-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "SUITE C206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-622-8881",
            "fax_number": "561-622-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. BUSH, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-622-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY003425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daughtry Eastridge & Katona MD PA (Urology Associates of the Palm Beaches)
• Daughtry Eastridge and Katone MD PA (Urology Associates of the Palm Beaches)
• David a Lickstein MD LLC
• David a. Goldman MD, LLC
• David S McEwen Dcpa
• David W Yates DMD PC
• Luke Alexander Davies
• Amanda Joelle Davis, PH.D.
• Josha Davis, MS
• Mary Katherine Davis, APRN

• Clinical Neuropsychologist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.