Shane Bush, PH.D

ActiveIndividual ProviderClinical Psychologist
NPI issued: May 16, 2006

Quick Facts

NPI Number
1003868514
TypeIndividual
StatusActive
SpecialtyClinical Psychologist
Taxonomy103TC0700X — Clinical Psychologist
Phone
(631) 334-7884
StateNY

NPI Validation Status: Verified

Valid 10-digit NPI number (1003868514)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 16, 2006)
Data source: CMS NPPES

Provider Overview

SHANE BUSH, PH.D is a Clinical Psychologist provider based in Lake Ronkonkoma, NY who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1003868514
Provider TypeIndividual Provider
GenderMale
CredentialPH.D
StatusActive
Enumeration DateMay 16, 2006

Practice Location

CityLake Ronkonkoma
StateNY
ZIP Code11779-9600
Phone(631) 334-7884

Specialties & Licenses

★ Primary
SpecialtyClinical Psychologist
Taxonomy Code103TC0700X
License StateNY

Mailing Address

CityLake Ronkonkoma
StateNY
ZIP Code11779-9600
Phone(631) 334-7884
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1003868514 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1003868514for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1003868514 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Clinical Psychologist

Specialists in Clinical Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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75,968
Clinical Psychologist Providers in the US

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People Also Ask

What is Shane Bush's NPI number?
Shane Bush's NPI number is 1003868514, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Shane Bush's NPI currently active?
Yes, Shane Bush's NPI status is Active as of the latest CMS NPPES database updates.
What does Shane Bush specialize in?
Shane Bush specializes in Clinical Psychologist. The healthcare taxonomy code associated with this specialty is 103TC0700X.
Where does Shane Bush practice?
Shane Bush practices in Lake Ronkonkoma, NY 11779-9600.
When was Shane Bush's NPI issued?
Shane Bush's NPI was issued on May 16, 2006.
What is Shane Bush's provider type?
Shane Bush is registered as an Individual Provider under CMS NPI Type 1.