Richard James Bustamante-Quon, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001338 Issued in NY

Practice address

1975 7TH Ave
New York, NY 10026-1730

Phone

(212) 470-0847

Fax

(212) 904-1444

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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.

• Carmel Psychological Health, PC

  • Psychologist
  • Carmel, NY
  • NPI 1720194335

  Mental Health, NY

  Medicare reassignment Care Compare group NPD

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carmel Psychological Health PC 222 clinicians

Practice addresses (Care Compare)

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

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2022.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1790842011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261730",
            "telephone_number": "212-470-0847",
            "fax_number": "212-904-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE-QUON",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02249145",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alegre F Bussetti, LMSW
• Suzanne Bussetti, CPNP
• Stephanie Marie Bussmann, CNM
• Angela Bussolini, OTR/L
• Agustin Busta, MD
• Chris Bustamante, NP-C
• Isabel Marie Bustamante
• Jean Gabriel Bustamante, M.D.
• Maria J Bustamante, OD
• Patrick Joseph Bustamante, PT

• All providers in New York, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.

Verify at the official NPI Registry.