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

Dr. Daniel Menachem Rudofossi, PSYD, PHD

Individual provider Psychologist · NPI 1578785317

Dr. Daniel Menachem Rudofossi, PSYD, PHD is a Clinical Psychologist in New York, New York. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4 Park Ave Ste 10F
New York, NY 10016-5339 Not confirmed with CMS for 12 years — call before visiting
Phone: (917) 836-0635
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 013703DUP (NY)

Record details

NPI number1578785317
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , PHD
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESApril 24, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New York