Active NPI
Habib Rasoully, DO
- Psychiatry Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 335457
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 335457 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Leap Medical Group PA | Psychiatry | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.