Long Island Neuropsychology, P.C.
NPI 1356467419ActiveOrganization· Psychologist, Forensic· Lake Ronkonkoma, NY
Psychologist, Forensic in Lake Ronkonkoma, New York, registered in NPPES in March 2007. The authorized official on file is Shane S. Bush, PH.D., President.
Overview
| NPI | 1356467419 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | 012998 | NY |
| Clinical Neuropsychologist | 103G00000X | 012998 | NY |
| Psychologist | 103T00000X | 012998 | NY |
| Psychologist, Clinical | 103TC0700X | 012998 | NY |
| Psychologist, Rehabilitation | 103TR0400X | 012998 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|