ROBERT RUSSO JR. (NPI# 1245480045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245480045 |
| Entity Type | Individual |
| Full Name | ROBERT RUSSO JR. |
| Credential | PC |
| Practice Address |
311 Doric Ave Cranston RI 02910-2903 |
| Practice Telephone | 4017843600 |
| Practice Fax Number | 4017833636 |
| Mailing Telephone | 4017843600 |
| Mailing Fax Number | 4017833636 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | GH57134 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467547703 | Robert Joseph Russo | Dentist | 1929 Lincoln Hwy East, Suite 150, Lancaster, PA 17602 | 2006-10-03 |
| 1831282904 | Robert Edward Russo | Technician/Technologist | 18 Railroad Street, Essex Junction, VT 05453 | 2006-10-02 |
| 1114924693 | Robert D. Russo | Radiology | 75 Kings Highway Cutoff, Suite 1a, Fairfield, CT 06824-5340 | 2005-06-30 |
| 1912274978 | Robert Russo | Pharmacist | 1809 E Allegheny Ave, Philadelphia, PA 19134-3119 | 2011-11-18 |
| 1740293661 | Robert Russo | Internal Medicine | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-08-14 |
| 1891720066 | Robert Anthony Russo | Dentist | 321 Washington St, Gloucester, MA 01930-4837 | 2006-07-12 |
| 1215976493 | Robert Russo Jr. | Physical Therapist | 4266 Acme Rd, Frankfort, NY 13340-3504 | 2006-06-05 |
| 1104871656 | Robert James Russo | Physician Assistant | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-05-23 |
| 1881643245 | Robert A Russo | Podiatrist | 1255 Portland Ave, Rochester, NY 14621-2728 | 2006-05-10 |
| 1730144064 | Robert J. Russo | Internal Medicine | 9850 Genesee Ave, Suite 350, La Jolla, CA 92037-1224 | 2006-04-19 |
| Street Address |
311 DORIC AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003886631 | David C Savitzky | Psychiatry & Neurology | 311 Doric Ave, Cranston, RI 02680 | 2006-01-25 |
| 1750641833 | Mir Ayesha Siddiqua | Dentist | 311 Doric Ave, Cranston, RI 02910-2903 | 2012-05-22 |
| 1770849259 | Comprehensive Community Action, Inc | Community/Behavioral Health | 311 Doric Ave, Cranston, RI 02910-2903 | 2012-04-09 |
| 1942578885 | Cheryl G Swensen | Counselor | 311 Doric Ave, Cranston, RI 02910-2903 | 2011-12-07 |
| 1851603849 | Virginia Clifford | Social Worker | 311 Doric Ave, Cranston, RI 02910-2903 | 2010-07-08 |
| 1689809154 | Kelci Conti | Counselor | 311 Doric Ave, Cranston, RI 02910-2903 | 2009-05-27 |
| 1710143888 | Stacy Reck | Counselor | 311 Doric Ave, Cranston, RI 02910-2903 | 2008-07-29 |
| 1164688248 | Brook Reid | Counselor | 311 Doric Ave, Cranston, RI 02910-2903 | 2008-07-29 |
| 1124297783 | Grace Dulude | Counselor | 311 Doric Ave, Cranston, RI 02910-2903 | 2008-02-27 |
| 1740469295 | Kellie Ann Nason | Social Worker | 311 Doric Ave, Cranston, RI 02910-2903 | 2007-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080717 | Maxine Swajian | Counselor | 100 Midway Rd Ste 9, Cranston, RI 02920-5742 | 2019-03-01 |
| 1003308982 | Arturo Ramirez | Counselor | 9 Carlo Ct, Cranston, RI 02921-2603 | 2018-06-05 |
| 1336638303 | Rhode Island Counseling Associates LLC | Counselor | 1150 Reservoir Ave Ste 203, Cranston, RI 02920-6043 | 2018-05-05 |
| 1326547225 | Kelly O'brien | Counselor | 46 Briar Hill Dr, Cranston, RI 02921-1202 | 2018-02-06 |
| 1093250466 | Courtney Young | Counselor | 6 Collingwood Dr, Cranston, RI 02921-2609 | 2016-12-21 |
| 1659722916 | Eric John Fallon | Counselor | 232 Northup St, Cranston, RI 02905-4215 | 2016-06-28 |
| 1114313384 | Ashley Ann Macari | Counselor | 178 Park Ave, Cranston, RI 02905-2650 | 2015-04-14 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1972920585 | Massiel F Almond Frias | Counselor | 221 Woodbine St, Cranston, RI 02910-2953 | 2014-03-20 |
| Find all providers in CRANSTON | ||||
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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.