RUDY NYDEGGER PHD, ABPP, PLLC


Address: 2317 Balltown Rd., Suite 203, Schenectady, NY 12309
Phone: 5183774398

RUDY NYDEGGER PHD, ABPP, PLLC (NPI# 1255680344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255680344
Entity Type Organization
Organization Name RUDY NYDEGGER PHD, ABPP, PLLC
Practice Address 2317 Balltown Rd.
Suite 203
Schenectady
NY 12309
Practice Telephone 5183774398
Practice Fax Number 5183843475
Mailing Telephone 5183774398
Mailing Fax Number 5183843475
Enumeration Date 2012-09-05
Last Update Date 2014-07-29
Authorized Official Name DR. RUDY V NYDEGGER (OWNER)
Authorized Official Telephone 5183774398
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 5721 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03537919 05

Office Location

Street Address 2317 BALLTOWN RD.
SUITE 203
City SCHENECTADY
State NY
Zip Code 12309

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Competitor

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City SCHENECTADY
Zip Code 12309

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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