LONG ISLAND NEUROPSYCHOLOGY, P.C.
NPI 1356467419
Psychologist - Forensic in Lake Ronkonkoma, NY
NPI Status: Active since March 21, 2007
Contact Information
290 HAWKINS AVE
SUITE B
LAKE RONKONKOMA, NY
ZIP 11779
Phone: (631) 334-7884
- Organization
- Psychologist
- Forensic
About LONG ISLAND NEUROPSYCHOLOGY, P.C.
This page provides the complete NPI Profile along with additional information for Long Island Neuropsychology, P.c., a provider established in Lake Ronkonkoma, New York operating as a Psychologist, focusing in forensic . The healthcare provider is registered in the NPI registry with number 1356467419 assigned on March 2007. The practitioner's primary taxonomy code is 103TF0200X with license number 012998 (NY). The provider is registered as an organization and their NPI record was last updated one year ago. Long Island Neuropsychology, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Shane S. Bush Ph.d. (President)
- NPI
- 1356467419
- Provider Name
- LONG ISLAND NEUROPSYCHOLOGY, P.C.
- Entity Type
- Organization
- Location Address
- 290 HAWKINS AVE SUITE B LAKE RONKONKOMA, NY 11779
- Location Phone
- (631) 334-7884
- Mailing Address
- 290 HAWKINS AVE SUITE B LAKE RONKONKOMA, NY 11779
- Mailing Phone
- (631) 334-7884
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-21-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Forensic
- Taxonomy Code
- 103TF0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 012998
- License State
- NY
- Taxonomy Description
- A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 012998 (NY) |
| 2 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 012998 (NY) |
| 3 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 012998 (NY) |
| 4 | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | 012998 (NY) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356467419, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356467419, enumerated as an "organization" on March 21, 2007.
The provider is located at 290 HAWKINS AVE SUITE B LAKE RONKONKOMA, NY 11779 and the phone number is (631) 334-7884.
Psychologist with taxonomy code 103TF0200X and a focus in Forensic.
