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

Individual provider Psychologist · NPI 1063783843

Dr. Ruben N Rosario, PSYD is a Clinical Psychologist in Bronx, New York. Qualified in 2011, 15 years ago. Practices with Shakespeare Operating LLC, a 137-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Puerto Rico.

Years since qualifying
15
Licensed in
NY, PR
In the registry since
2012
Specialties on file
2
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

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 022066 (NY)
Psychologist Taxonomy 103T00000X · Licence 4197 (PR)

Record details

NPI number1063783843
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJanuary 25, 2012
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Shakespeare Operating Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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