DR. L. RUSSELL PET (NPI# 1194745257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194745257 |
| Entity Type | Individual |
| Full Name | DR. L. RUSSELL PET |
| Credential | M.D. |
| Practice Address |
4 Hartwell St Ste 1 Fall River MA 02721-3019 |
| Mailing Address |
4 Hartwell St Fall River MA 02721-3019 |
| Practice Telephone | 5086750089 |
| Practice Fax Number | 5086752233 |
| Mailing Telephone | 5086750089 |
| Mailing Fax Number | 5086752233 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
8850 | RI | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
150723 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3154564 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 363 Highland Ave, Fall River, MA 027203703 | 5089735930 | 5089735931 |
| Street Address |
4 HARTWELL ST STE 1 |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02721-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1316561814 | Sravanthi Tapal | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fallriver, MA 02721 | 2020-06-01 |
| 1447808811 | Guilbert Maria | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fall River, MA 02721 | 2019-08-29 |
| 1619466638 | Alpha Dental Center, P.c | Dentist | 516 Newton St., Fall River, MA 02721 | 2018-05-04 |
| 1083987374 | Fall River Dental Center | Dentist | 516 Newton St, Fall River, MA 02721 | 2012-02-16 |
| 1033489109 | Phoenix Psychiatric Services | Clinic/Center | 101 Jeremiah Sullivan Dr, Fall River, MA 02721 | 2012-01-06 |
| 1619271491 | Amanda Leigh Sims | Student in an Organized Health Care Education/Training Program | 1575 North Main Street, Fall River, MA 02721 | 2011-01-07 |
| 1346481280 | Paul Ongulo | Counselor | 170 Pleasant Street, Fall River, MA 02721 | 2009-03-23 |
| 1508020439 | Dental Dreams LLC | Dentist | 45 Mariano South Bishop Blvd, Fall River, MA 02721 | 2008-07-10 |
| 1174793244 | Joan P Riley | Social Worker | 700 Shore Dr Unit 605, Fall River, MA 02721 | 2008-03-05 |
| Find all providers in zip 02721 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046148 | Kripa Behavioral Health, P.C. | Psychiatry & Neurology | 415 Elsbree St Ste 1a, Fall River, MA 02720-7297 | 2020-09-08 |
| 1841363082 | Kennard C Kobrin | Psychiatry & Neurology | 222 Rock St, Fall River, MA 02720-3212 | 2006-11-16 |
| 1609980135 | Claude Augustine Curran | Psychiatry & Neurology | 198 Hanover St, Fall River, MA 02720-5210 | 2006-08-19 |
| 1497780720 | Alexandrina Darabus | Psychiatry & Neurology | Jc Corrigan Mental Health Center, 49 Hillside Street, Fall River, MA 02720 | 2006-07-12 |
| 1467409045 | Roger A Boshes | Psychiatry & Neurology | 49 Hillside St, Fall River, MA 02720-5211 | 2006-05-28 |
| 1295027134 | Steward St. Anne's Hospital Corporation | Psychiatry & Neurology | 795 Middle St, Fall River, MA 02721-1733 | 2011-05-11 |
| 1811065329 | Susan L Springer | Psychiatry & Neurology | 49 Hillside St, Fall River, MA 02720-5211 | 2006-12-01 |
| 1588731731 | Jose J Sousa | Psychiatry & Neurology | 235 Hanover St, Suite 204, Fall River, MA 02720-5299 | 2006-11-30 |
| 1285719104 | Douglas Howard Griffiths | Psychiatry & Neurology | 386 Stanley St, Sstar, Fall River, MA 02720-6009 | 2006-10-26 |
| 1598852576 | Genie Lark Bailey | Psychiatry & Neurology | 386 Stanley St, Fall River, MA 02720-6009 | 2006-10-09 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02721 |
Please comment or provide details below to improve the information on DR. L. RUSSELL PET.
| 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.