DR. IVETTE JOSEFINA RUSSO


Address: 18th Medical Group, Unit 5142, Apo, AP 96368
Phone: 3156320475

DR. IVETTE JOSEFINA RUSSO (NPI# 1245639418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245639418
Entity Type Individual
Full Name DR. IVETTE JOSEFINA RUSSO
Credential PSY.D.
Practice Address 18th Medical Group, Unit 5142
Apo
AP 96368
Mailing Address Psc 80 Box 12847
Apo
AP 96367
Practice Telephone 3156320475
Enumeration Date 2014-08-13
Last Update Date 2018-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY8970 FL Behavioral Health & Social Service Providers

Office Location

Street Address 18TH MEDICAL GROUP, UNIT 5142
City APO
State AP
Zip Code 96368

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972784494 Laura Marie Boylan Social Worker 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2007-11-27
1225483621 Ryan Mark Family Medicine 18th Medical Group, Unit 5142, Apo, AP 96368 2016-05-04
1952761702 Jennifer Tanaka Dentist 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2016-03-07
1124400478 Lincoln Andreasen Family Medicine 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2015-06-23
1932580388 Teresa Lynn Micotto Preventive Medicine 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2015-06-11
1174928865 Jafet A Ojeda Rodriguez Preventive Medicine 18th Medical Group, Unit 5142, Apo, AP 96368 2014-10-24
1487074274 Jenny Wylie Nurse Practitioner 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2014-04-21
1497187330 Shannon Napua Hickman Roman Social Worker 18th Medical Group, Unit 5142, Apo, AP 96368-9998 2013-08-02
1215376207 Yalonda Pone Social Worker 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2013-06-23
1598008534 Adam N Young Internal Medicine 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2013-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063872703 Halston Thayer Dentist 18th Medical Group. Unit 5142, Apo, AP 96368 2016-02-23
1912392333 Jennifer Chilson Military Health Care Provider Bldg 3531 Unit 5247 B 10, Apo, AP 96368 2015-04-02
1811245962 Greyson Leftwich Dentist 18th Medical Group, Bldg 626. Unit 5142, Apo, AP 96368 2012-08-21
1639440720 Marta T Casbeer Social Worker Unit 4142, Apo, AP 96368 2012-01-20
1538454335 Rachel Jeanty Asuquo Internal Medicine Kadena Air Base, Apo, AP 96368 2011-06-09
1730489451 Laura Driver Dentist Kadena Afb 18 Mdg, Unit 5142, Apo, AP 96368 2010-10-28
1043442247 Christina M Carter Nurse Practitioner 18th Med Group Unit 5142, Apo, AP 96368 2009-08-20
1659515070 David J Billings Military Health Care Provider 353d Operations Support Squadron, Unit 5247 Box 10, Apo, AP 96368 2009-04-29
1427292226 Melissa Anne Worley Emergency Medical Technician, Paramedic Bldg 3531, Kadena Ab Japan, Apo, AP 96368 2009-04-23
1922240571 Richard H Caballero Pharmacist 18 Mdss Pharmacy, Unit 5268 Bld 626, Apo, AP 96368 2009-03-28
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295260420 Karolina Przegienda Psychologist 9414 Old Ironsides Ave and 19th Street, Fort Hood, Tx, Apo, AA 78544 2017-04-25
1124476122 Joanna Dziura Psychologist Vilseck Behavioral Health Clinic, Bldg 260, Apo, AE 09112 2016-05-31
1629456348 Maisha Marie Smith Psychologist Quality Management Division (credentials) Hq, Korea Unit 15281, Apo, AP 96205 2015-05-14
1891181509 Mary Zander Psychologist Psc 76 Box 3646, Apo, AP 96319-0037 2015-04-09
1932460516 Sarah Elizabeth Wood Psychologist Building 1526, Clay Kaserne, Apo, AE 09096 2012-05-31
1164713384 Wesley Neal Stokes Psychologist Unit 15190 Box 46, Apo, AP 96271-5190 2011-04-21
1598089617 Sharon Elaine Stewart Psychologist Landstuhl Regional Medical Center, Cmr 402, Apo, AE 09180-3460 2010-03-18
1770728180 Christine Ann O'riley Psychologist Cmr 402 Box 877, Apo, AE 09180-0877 2008-12-15
1982854428 Timothy Scott Greenhill Psychologist Cmr 415 Box 3929, Apo, AE 09114-0040 2008-09-21
1841452034 Elizabeth A Goodwin Psychologist Psc 80 Box 10922, Apo, AP 96367-0012 2008-06-27
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Competitor

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City APO
Zip Code 96368

Improve Information

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Dataset Information

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.

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