Shane Bush, PH.D.
Clinical Neuropsychologist · Lake Ronkonkoma, NY
Shane Bush, PH.D. is a clinical neuropsychologist with a practice address in Lake Ronkonkoma, New York, and NPI 1003868514, issued on May 16, 2006. Check the license (New York 012998, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Shane Bush
- Credential
- PH.D.
- Primary taxonomy
- Clinical Neuropsychologist 103G00000X
- License numbers
- 012998 NY
012998-2 NY
Self-reported in NPPES; status is on the state search - Practice location
- 290 Hawkins Ave, Lake Ronkonkoma, NY 11779
- Phone
- (631) 334-7884
- Enumerated
- May 16, 2006
- Record last updated
- Jul 18, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (631) 980-3715
- Entity
- Type 1 · individual
8 nearest clinical neuropsychologist records → All 424 in New York → Look up another NPI →
Also registered at 290 Hawkins Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Dana Bush, PH.D.Clinical Psychologist1174640668
Verify Shane Bush in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 012998Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Shane Bush among 424 clinical neuropsychologist records in New York
Shane Bush, PH.D. is one of 424 clinical neuropsychologist records with a practice address in New York. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 73% newer
- In a Medicare fileNo · 26% of these records are
- In the CMS Doctors and Clinicians fileNo · 33% of these records are
- Record last updated2007 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103G00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Neuropsychologist providers in New York
There are 424 clinical neuropsychologist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 424 in New York → Every provider in Lake Ronkonkoma → Clinical Neuropsychologist nationwide →
The 8 clinical neuropsychologist records with the nearest ZIP codes
- Hilary GomesSaint James, NY 117801164896817
- Jacqueline Lobosco, PH.D.Port Jefferson, NY 117771225457765
- Michael Parrella, PH.D.Port Jefferson, NY 117771699742577
- Sara Resch, PHDPort Jefferson, NY 117771114437241
- Mark SandbergPort Jefferson, NY 117771831191709
- Heather Henkell, PHDPort Jefferson Station, NY 117761780089292
- Amber Sousa, PH.D.Port Jefferson Station, NY 117761285093252
- Anne-Marie Lepore, PHDSeaford, NY 117831689795387
Common questions
What is Shane Bush, PH.D.'s NPI number?
Shane Bush, PH.D.'s National Provider Identifier (NPI) is 1003868514, issued on May 16, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shane Bush, PH.D. located?
The NPPES record lists a practice address at 290 Hawkins Ave, Lake Ronkonkoma, NY, 11779. Phone: (631) 334-7884. Providers update this record themselves, so call before visiting.
How can I verify Shane Bush, PH.D.'s license?
NPPES lists New York license number 012998, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.