DR. DAVID BARUCH RUSH (NPI# 1619937646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619937646 |
Entity Type | Individual |
Full Name | DR. DAVID BARUCH RUSH |
Credential | PH.D. |
Practice Address |
155 Medical Way Suite D Riverdale GA 30274-4940 |
Practice Telephone | 7709964264 |
Practice Fax Number | 7709969525 |
Mailing Telephone | 7709964264 |
Mailing Fax Number | 7709969525 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2016-03-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY001268 | GA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000355066A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982768867 | David Ray Rush | Pharmacist | 17074 S Demi Dr, Village of Loch Lloyd, MO 64012-4117 | 2006-12-21 |
1588902241 | David Lee Rush | Physical Therapy Assistant | 1300 Veterans Rd, Warrensburg, MO 64093 | 2013-01-30 |
1396039434 | David Alan Rush | Orthopaedic Surgery | 9600 Broadway Ext, Oklahoma City, OK 73114 | 2011-06-07 |
1124035753 | David N Rush | Counselor | 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | 2006-08-03 |
Street Address |
155 MEDICAL WAY SUITE D |
City | RIVERDALE |
State | GA |
Zip Code | 30274-4940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679549489 | Paul H Liebman Md PC | Internal Medicine | 155 Medical Way, Ste D, Riverdale, GA 30274 | 2006-02-23 |
1821543158 | Laura Elizabeth James | Physical Therapist | 155 Medical Way, Ste A, Riverdale, GA 30274-4940 | 2016-08-16 |
1285189506 | Erika Lea Fajman | Physical Therapist | 155 Medical Way, Ste A, Riverdale, GA 30274-4940 | 2016-08-16 |
1932388527 | Paul Harvey Liebman | Internal Medicine | 155 Medical Way, Suite D, Riverdale, GA 30274-4940 | 2007-10-30 |
1720022155 | John Justus Miller | Ophthalmology | 155 Medical Way, Suite E, Riverdale, GA 30274 | 2006-06-15 |
1194788034 | Kendra L Mclester | Midwife | 155 Medical Way, Suite B, Riverdale, GA 30274-4940 | 2006-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
Find all providers in zip 30274 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952378226 | Lisa Clark | Psychologist | 225 Medical Way, Riverdale, GA 30274-2522 | 2006-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
1588261945 | Raven Evans | Psychologist | 1800 Lake Park Dr Se Ste 123, Smyrna, GA 30080-7639 | 2020-10-07 |
1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
1932721784 | Essential Counseling & Consulting, Inc | Psychologist | 2800 Old Spanish Trl, College Park, GA 30349-4266 | 2020-05-15 |
1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
1336760164 | Lauren Olivia Patterson | Psychologist | 209 Thornwood Ct, Statesboro, GA 30458-0296 | 2020-05-04 |
1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
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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.