DR. DAVID BARUCH RUSH (PH.D.) – Clinical Psychologist, NPI 1619937646
Clinical Psychologist
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NPPES metrics only — not quality of care.
483 CLINICAL PSYCHOLOGIST in GA
Provider Addresses for DR. DAVID BARUCH RUSH (PH.D.)
1984 HOWELL MILL RD NW UNIT 20031
ATLANTA, GA 303252025
Phone: (770) 996-4264
Fax: (770) 996-9525
Type: Mailing
877 W WESLEY RD. NW
ATLANTA, GA 30327
Phone: (770) 996-4264
Fax: (770) 996-9525
Type: Location
155, Medical Way, Riverdale, Clayton County, Georgia, 30274, United States
SUITE D
RIVERDALE, GA 302744940
Phone: (770) 996-4264
Fax: (770) 996-9525
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051005000389 | I | Clinical Psychologist | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 570 | 563 | $0 |
| 96130 | Evaluation of psychological test, first hour | 565 | 559 | $0 |
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