Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Rustam, PSYD

Individual provider Psychologist · NPI 1558987941

Dr. Kevin Rustam, PSYD is a Psychologist in New York, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

253 S St
New York, NY 10002-7827
Phone: (646) 740-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 024650 (NY)

Record details

NPI number1558987941
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 22, 2020
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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