DR. KEVIN RUSTAM PSY.D.
NPI 1558987941
Psychologist in New York, NY

Active since June 22, 2020
253 SOUTH ST, NEW YORK, NY 10002(646) 740-1055 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 11, 2023, Dec 28, 2021, Jun 22, 2020 (3 updates tracked since 2020).

About Dr. Kevin Rustam Psy.d. NPPES

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

DR. KEVIN RUSTAM PSY.D. (NPI 1558987941) is an individual psychologist in New York, New York, licensed in New York (024650) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1558987941
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KEVIN RUSTAMCredential: PSY.D.
Location Address253 SOUTH STNew York, NY 10002-7827
Mailing Address253 South StNew York, NY 10002-7827 · (212) 720-4540
Sole ProprietorNo
Enumeration DateJune 22, 2020
Last NPPES UpdateOctober 28, 20243 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
NPI 1558987941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 024650
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.
253 SOUTH ST, New York, NY 10002

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.

Social Worker
253 SOUTH ST
NEW YORK, NY 10002
Counselor (Mental Health)
253 SOUTH ST
NEW YORK, NY 10002
Social Worker
253 SOUTH ST
NEW YORK, NY 10002
Registered Nurse
253 SOUTH ST
NEW YORK, NY 10002
Counselor (Mental Health)
253 SOUTH ST
NEW YORK, NY 10002
Social Worker (Clinical)
253 SOUTH ST, 2ND FLOOR
NEW YORK, NY 10002
Psychologist
253 SOUTH ST
NEW YORK, NY 10002
Nurse Practitioner (Psychiatric/Mental Health)
253 SOUTH ST
NEW YORK, NY 10002

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 Kevin Rustam's NPI number?

The NPI number for Kevin Rustam is 1558987941. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Kevin Rustam located?

Kevin Rustam practices at 253 South St, New York, NY 10002. The listed phone number is (646) 740-1055.

What is Kevin Rustam's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Kevin Rustam was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.