DR. ANNABELLA BUSHRA PH.D.
NPI 1477695997
Psychologist - Clinical in New York, NY

Q: What is Annabella Bushra's NPI number?

The NPI number for Annabella Bushra is 1477695997. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Annabella Bushra's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Annabella Bushra enrolled in Medicare?

No. Annabella Bushra has opted out of Medicare through June 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Annabella Bushra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2007Opted out of Medicare · through Jun 15, 2028

330 W 58TH ST, SUITE #504, NEW YORK, NY 10019(212) 582-7450(212) 582-7450 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Annabella Bushra Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANNABELLA BUSHRA PH.D. (NPI 1477695997) is an individual clinical provider in New York, New York, licensed in New York (8536) and active in the NPI registry since February 2007. She has opted out of Medicare through June 15, 2028.

NPPES Registry Identity

NPI1477695997

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANNABELLA BUSHRACredential: PH.D.

Location Address330 W 58TH ST, SUITE #504New York, NY 10019-1827

Mailing Address330 W 58th St, Suite #504New York, NY 10019-1827 · (212) 582-7450 · Fax (212) 582-7450

Phone(212) 582-7450

Fax(212) 582-7450

Sole ProprietorYes

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477695997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 8536

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

330 W 58TH ST, New York, NY 10019

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Annabella Bushra Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 15, 2020 through June 15, 2028.

Opt-Out Effective DateJune 15, 2020

Opt-Out In Effect ThroughJune 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SYLVIA FAYE GRANT SYLVIA GRANT, LCSW

Social Worker (Clinical)

330 W 58TH ST, SUITE 609
NEW YORK, NY 10019

New York County (212) 315-1881

UNITY PSYCHOLOGICAL CONSULTING, PLLC

Community/Behavioral Health

330 W 58TH ST, SUITE 208
NEW YORK, NY 10019

New York County (917) 969-9560

MS. ROSANNE COSENTINO CNM

Midwife

330 W 58TH ST, SUITE 505
NEW YORK, NY 10019

New York County (212) 957-3006

DR. BEAU ANTHONY GREGERSEN D.C

Chiropractor

330 W 58TH ST, SUITE# 407
NEW YORK, NY 10019

New York County (212) 765-6470

DR. FRANK FARANDA PH.D.

Psychologist (Clinical)

330 W 58TH ST, SUITE 612
NEW YORK, NY 10019

New York County (212) 586-0717

MAAYAN E KESHET M.D.

Specialist

330 W 58TH ST
NEW YORK, NY 10019

New York County (212) 204-0600

TERAESA VINSON PHD

Psychologist

330 W 58TH ST, SUITE 207
NEW YORK, NY 10019

New York County (917) 309-4636

DR. LISA JULIANO PSYD

Psychologist (Clinical)

330 W 58TH ST, SUITE 306
NEW YORK, NY 10019

New York County (646) 265-9919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annabella Bushra's NPI number?

The NPI number for Annabella Bushra is 1477695997. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Annabella Bushra located?

Annabella Bushra practices at 330 W 58th St Suite #504, New York, NY 10019. The listed phone number is (212) 582-7450.

What is Annabella Bushra's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Annabella Bushra enrolled in Medicare?

No. Annabella Bushra has opted out of Medicare through June 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Annabella Bushra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.