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Active NPI 1679669287 Individual Practitioner Male Practitioner

Dr. David Moshe Sullum , PhD

Psychologist • Poughkeepsie, NY

Professional Overview & Biography Verified Profile Summary

Dr. David Sullum, PhD is a registered healthcare professional specializing in Psychologist in Poughkeepsie, NY. Practice services are available at 2 MIRON DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Miron Drive

Poughkeepsie, NY 12603

Telephone 8454621259

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Poughkeepsie, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
31 Specialists

Practicing in Poughkeepsie, NY (5379 Statewide)

Telehealth Adoption Rate
6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NY 010911-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01450086 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 2 MIRON DRIVE, POUGHKEEPSIE, NY 12603 (Tel: 8454621259)

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Updated Business Mailing Address July 09, 2007

Registered at 2 MIRON DRIVE, POUGHKEEPSIE, NY 12603 (Tel: 8454621259)

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Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID SULLUM, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #010911-1 in NY)

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Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679669287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

2 Miron Drive

Poughkeepsie, NY 12603

Phone: 8454621259

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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