MATTHEW JOHN RUSSO (NPI# 1013946417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013946417 |
| Entity Type | Individual |
| Full Name | MATTHEW JOHN RUSSO |
| Credential | M.S., CCC-A |
| Practice Address |
7 Essex Green Dr Suite 2 Peabody MA 01960-2961 |
| Mailing Address |
Po Box 406153 Atlanta GA 30384-1876 |
| Practice Telephone | 9785326650 |
| Mailing Telephone | 9785326650 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 777 | MA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 5104378 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710277744 | Matthew William Russo | Orthopaedic Surgery | 10290 N 92nd St Ste 103, Scottsdale, AZ 85258-4508 | 2011-04-11 |
| 1639491194 | Matthew R Russo | Licensed Practical Nurse | 41 Congress St, Harrison, NY 10528-2901 | 2010-02-24 |
| 1356719652 | Matthew Russo | Nurse Anesthetist, Certified Registered | 1 W Broad St, Suite 506, Bethlehem, PA 18018-5717 | 2015-09-03 |
| Street Address |
7 ESSEX GREEN DR SUITE 2 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861624447 | Patricia Ann Hanson | Social Worker | 7 Essex Green Dr, Suite 63, Peabody, MA 01960-2961 | 2009-08-17 |
| 1558526376 | Courtney Ann Lobraico | Clinical Neuropsychologist | 7 Essex Green Dr, Suite 63, Peabody, MA 01960-2961 | 2008-07-21 |
| 1508073818 | Melvin Mizner | Dentist | 7 Essex Green Dr, Suite 54, Peabody, MA 01960-2961 | 2007-05-17 |
| 1790906725 | Northside Dental Care | Dentist | 7 Essex Green Dr, Suite 54, Peabody, MA 01960-2961 | 2007-05-01 |
| 1629298641 | Gurmeet Kour | Dentist | 7 Essex Green Dr, Suite 54, Peabody, MA 01960-2961 | 2007-05-01 |
| 1538282488 | Janice F. Chiaradonna | Counselor | 7 Essex Green Dr, Suite # 65, Peabody, MA 01960-2961 | 2007-04-07 |
| 1093840340 | Amy Elisabeth Corveleyn | Social Worker | 7 Essex Green Dr, Suite 63, Peabody, MA 01960-2961 | 2007-02-23 |
| 1689718652 | Betsy M Lang | Social Worker | 7 Essex Green Dr, Suite 63, Peabody, MA 01960-2961 | 2007-02-16 |
| 1518022201 | Ellis H Katz | Psychologist | 7 Essex Green Dr, Suite 65, Peabody, MA 01960-2961 | 2006-12-25 |
| 1811057078 | Mary Baures | Psychologist | 7 Essex Green Dr, No. 65, Peabody, MA 01960-2961 | 2006-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629172200 | Erin Macmullen | Audiologist | 7 Essex Grean Drive, Peabody, MA 01880-5022 | 2006-09-12 |
| 1558674424 | Meghan A Malloy | Audiologist | 1 Essex Center Dr, Lahey Northshore, Peabody, MA 01960-2901 | 2010-07-21 |
| 1093028367 | Evelyn S Delegas | Audiologist | 1 Essex Center Dr, Lahey Northshore, Peabody, MA 01960-2901 | 2010-07-15 |
| 1467640540 | Cecilia Reed | Audiologist | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2007-10-14 |
| 1306811302 | Susan A Merenda | Audiologist | 1 Essex Center Dr, 4th Floor, Peabody, MA 01960-2901 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111498 | Alyssa Marie Smith | Audiologist | 100 Pier 4 Blvd Unit 1703, Boston, MA 02210-1966 | 2020-10-16 |
| 1821605577 | Holly Botzum | Audiologist | 501 North St Ste 6, Pittsfield, MA 01201-4101 | 2020-09-28 |
| 1639782337 | Susan Beatch Tilden | Audiologist | 14 Gibbs Valley Path, Framingham, MA 01701-2849 | 2020-08-24 |
| 1083223689 | Jenna Fenton | Audiologist | 3 Meeting House Rd Ste 19, Chelmsford, MA 01824-2739 | 2020-07-29 |
| 1629695325 | Andrew Edward Gallagher | Audiologist | 600 Worcester Rd Lowr Level, Framingham, MA 01702-5303 | 2020-06-29 |
| 1649825753 | Alice M Bassen | Audiologist | 510 North St Ste 6, Pittsfield, MA 01201-4117 | 2019-08-06 |
| 1225680283 | Kerrilyn Mcgowan | Audiologist | 490 Shrewsbury St Ste 2, Worcester, MA 01604-1607 | 2019-07-10 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1578123592 | Taylor Chabot | Audiologist | 990 Paradise Rd Ste 3a, Swampscott, MA 01907-1309 | 2019-06-20 |
| 1528625068 | Sarah Louise Hill | Audiologist | 435 King St Ste 2, Littleton, MA 01460-1275 | 2019-05-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.