KIM BUSICHIO


Address: 952 5th Ave Apt 4a, New York, NY 10075-1749
Phone: 2125358932

KIM BUSICHIO (NPI# 1538685441) 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) 1538685441
Entity Type Individual
Full Name KIM BUSICHIO
Credential PH.D.
Practice Address 952 5th Ave Apt 4a
New York
NY 10075-1749
Practice Telephone 2125358932
Enumeration Date 2017-08-22
Last Update Date 2017-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers
N 103T00000X Psychologist 017076 NY Behavioral Health & Social Service Providers

Office Location

Street Address 952 5TH AVE APT 4A
City NEW YORK
State NY
Zip Code 10075-1749

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

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1750860144 Linda Cristina Calderon Clinical Neuropsychologist 635 W 165th St Rm 633a, New York, NY 10032-3724 2018-08-07
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1376078030 David Sukiennik Clinical Neuropsychologist 175 W 72nd St Apt 6g, New York, NY 10023-3209 2017-05-01
1982147310 Milestones Psychology Group Pllc Clinical Neuropsychologist 41 Madison Ave Ste 2536, New York, NY 10010-2202 2016-12-03
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Competitor

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City NEW YORK
Zip Code 10075

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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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