Russell Bomse, PH.D.
NPI 1780725705 · Clinical Psychologist · Northport, NY
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russell Bomse, PH.D. is a Clinical Psychologist provider in Northport, NY (NPI 1780725705).
Provider details
- NPI number
- 1780725705
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 009117-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Russell Bomse's NPI number?
- Russell Bomse's National Provider Identifier (NPI) is 1780725705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Bomse's specialty?
- Russell Bomse is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Russell Bomse located?
- Russell Bomse's practice location on file with NPPES is 90 Mar Kan Dr, Northport, NY 11768-1858.
- What is Russell Bomse's phone number?
- The practice phone number listed in the NPPES registry for Russell Bomse is (631) 754-6192.
- Does Russell Bomse accept Medicare?
- Russell Bomse is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Russell Bomse's NPI active?
- Yes — Russell Bomse's NPI (1780725705) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.