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DR. JESSICA LEE NUSBAUM PSYD
NPI 1891466819
Psychologist - Clinical in Bellerose, NY

Active since September 21, 2021PECOS Enrolled
7403 COMMONWEALTH BLVD BLDG 55, BELLEROSE, NY 11426(718) 264-4574 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Sep 21, 2021 (2 updates tracked since 2021).

About Dr. Jessica Lee Nusbaum Psyd NPPES

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

DR. JESSICA LEE NUSBAUM PSYD (NPI 1891466819) is an individual clinical provider in Bellerose, New York, licensed in New York (022689) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891466819
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA LEE NUSBAUMCredential: PSYD
Location Address7403 COMMONWEALTH BLVD BLDG 55Bellerose, NY 11426-1839
Mailing Address7403 Commonwealth Blvd Bldg 57Bellerose, NY 11426-1839 · (718) 264-4574
Phone(718) 264-4574
Sole ProprietorNo
Enumeration DateSeptember 21, 2021
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1891466819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 022689
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.
Also ListedPsychologistTaxonomy 103T00000X · License 022689 (NY)
7403 COMMONWEALTH BLVD BLDG 55, Bellerose, NY 11426
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Lee Nusbaum Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$201.98 typical visit price
range $67.00 – $201.98
Typical copayment $50.49 (range $16.75 – $50.49)
Most-billed visit code 99205
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

ANDREW ANTHONY CAMPBELL RN
Registered Nurse (Psychiatric/Mental Health)
7403 COMMONWEALTH BLVD BLDG 55
BELLEROSE, NY 11426
Queens County (929) 372-2835
NINA S SITON
Registered Nurse
7403 COMMONWEALTH BLVD BLDG 55
BELLEROSE, NY 11426
Queens County (718) 264-4500
DR. JENNIFER JO TUCKER PSY.D.
Psychologist
7403 COMMONWEALTH BLVD BLDG 55
BELLEROSE, NY 11426
Queens County (718) 264-4680
MONA AHMED RN-BC
Registered Nurse
7403 COMMONWEALTH BLVD BLDG 55
BELLEROSE, NY 11426
Queens County (718) 264-4805
MARTINEZ BIRCHWOOD RN
Registered Nurse
7403 COMMONWEALTH BLVD BLDG 55
BELLEROSE, NY 11426
Queens County (718) 264-4500
DR. SHANA CLARKE M.D.
Psychiatry & Neurology (Psychiatry)
7403 COMMONWEALTH BLVD BLDG 55
BELLEROSE, NY 11426
Queens County (718) 264-4535
MS. JENNIFER LAWTON LCSW
Social Worker
7403 COMMONWEALTH BLVD BLDG 55
BELLEROSE, NY 11426
Queens County (917) 685-1032
MS. DOLLY ANN BENEDICT RN-BC, MSN
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
7403 COMMONWEALTH BLVD BLDG 55
BELLEROSE, NY 11426
Queens County (718) 264-4610

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 Jessica Nusbaum's NPI number?

The NPI number for Jessica Nusbaum is 1891466819. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Where is Jessica Nusbaum located?

Jessica Nusbaum practices at 7403 Commonwealth Blvd Bldg 55, Bellerose, NY 11426. The listed phone number is (718) 264-4574.

What is Jessica Nusbaum's specialty?

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

Is Jessica Nusbaum enrolled in Medicare?

Yes. Jessica Nusbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Nusbaum was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.