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Long Island Neuropsychology, P.C.

Forensic Psychologist in Lake Ronkonkoma, NY · enumerated 2007 · authorized official Shane Bush, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1356467419

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Registry record

Entity type Organization (Type 2)
Legal business name Long Island Neuropsychology, P.C.
Practice address 290 Hawkins Ave, Suite B, Lake Ronkonkoma, NY, 11779
Phone (631) 334-7884
Enumeration date Mar 21, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers · License 012998 (NY) Secondary
103T00000X Psychologist Behavioral Health & Social Service Providers · License 012998 (NY) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 012998 (NY) Secondary
103TF0200X Forensic Psychologist Behavioral Health & Social Service Providers · License 012998 (NY) Primary
103TR0400X Rehabilitation Psychologist Behavioral Health & Social Service Providers · License 012998 (NY) Secondary

Authorized official

Name Shane Bush
Title President
Phone (631) 334-7884

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.
Where is Long Island Neuropsychology, P.C. located?
The practice location on file with NPPES is in Lake Ronkonkoma, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.