Individual provider Active NPI

Habib Rasoully, DO

  • Psychiatry Physician
  • Albany, NY
National Provider Identifier
1780388561
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
335457 Issued in NY
Practice address
Dept of Psychiatry, Mail Code:164
2 Clara Barton Dr
Albany, NY 12208
Phone
(518) 262-5511
NPI assigned
Mar 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 335457 NY Primary

Addresses

Primary practice location

Dept of Psychiatry, Mail Code:164
2 Clara Barton Dr
Albany, NY 12208

Mailing address

Dept of Psychiatry, Mail Code:164
2 Clara Barton Dr
Albany, NY 12208
Phone (518) 262-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211000081 NY Practitioner - Psychiatry 2668966250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

169 Madison Ave
New York, NY 10016-5101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
335457NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Leap Medical Group PA Psychiatry CurrentSince Nov 1, 2025 Accepting new patients

Locations

295 Madison Ave
Rm 407
New York, NY 10017
Phone (332) 334-1511

169 Madison Ave
Ste 2828
New York, NY 10016
Phone (332) 330-4076

34 S Broadway
Ste 504
White Plains, NY 10601
Phone (914) 289-2590

Interoperability endpoints

  • Direct secure messaging: hrasoully28697@albanymed.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1780388561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT OF PSYCHIATRY, MAIL CODE:164",
            "address_2": "2 CLARA BARTON DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF PSYCHIATRY, MAIL CODE:164",
            "address_2": "2 CLARA BARTON DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOULLY",
        "first_name": "HABIB",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "335457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.