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

Dr. Dana G. Bush, PHD

Individual provider Psychologist · NPI 1174640668

Dr. Dana G. Bush, PHD is a Psychologist in Lake Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

290 Hawkins Ave Ste B
Lake Ronkonkoma, NY 11779-9600
Phone: (631) 431-1581
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 013045 (NY)
Psychologist Taxonomy 103T00000X · Licence 013045 (NY)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 013045 (NY)

Record details

NPI number1174640668
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESMay 8, 2018