Individual provider · Type 1 NPI
Jason Marc Rudolph, PSY.D.
Clinical Psychologist · Wainscott, NY
Practice location
48 South Breeze Drive
Wainscott, NY 11975
Mailing address
PO Box 1006
Wainscott, NY 11975-1006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 35868 (CA) |
| Clinical Psychologist Primary | 103TC0700X | 017306 (NY) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
Other clinical psychologist providers in Wainscott
About NPI 1174404016
Jason Marc Rudolph, PSY.D.'s National Provider Identifier is 1174404016, issued on Sep 9, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Wainscott, NY. The record was last updated on Sep 9, 2025.