Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON MARC RUDOLPH, PSY.D.
ActiveDR. JASON MARC RUDOLPH, PSY.D. is a Clinical Psychologist healthcare provider located in WAINSCOTT, New York. NPI 1174404016 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WAINSCOTT, NY
Registration Details
- NPI Number
- 1174404016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2025 (0.94508593362167 yrs)
- Last Updated
- Sep 9, 2025
- Licenses
-
35868 (CA)017306 (NY)
Practice Information
- Address
-
48 SOUTH BREEZE DRIVEWAINSCOTT, NY, 11975Browse NY providers · Browse ZIP 11975
- Phone
- 9177508400
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in WAINSCOTT, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JOEL L KAYE | PH.D. | 1639297666 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.