RUSSELL J RICCI (NPI# 1255456109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255456109 |
| Entity Type | Individual |
| Full Name | RUSSELL J RICCI |
| Credential | M.D. |
| Practice Address |
16 Old Sudbury Rd Lincoln MA 01773-4808 |
| Practice Telephone | 7812590331 |
| Mailing Telephone | 7812590331 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
36720 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
16 OLD SUDBURY RD |
| City | LINCOLN |
| State | MA |
| Zip Code | 01773-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205330230 | Jacqueline Butler | Social Worker | Care Dimensions, 125 Winter Street, Lincoln, MA 01773 | 2018-03-23 |
| 1477988392 | Carlin Maiorana | Social Worker | 11 Old County Rd, Lincoln, MA 01773 | 2013-09-10 |
| 1669663886 | Quinn Kin-wung Chan | Dentist | 152 Lincoln Rd Ste 1, Lincoln, MA 01773 | 2007-08-05 |
| 1326068396 | Paula F. Angelini | Podiatrist | 14 Old Winter St, Lincoln, MA 01773 | 2006-07-20 |
| 1184756934 | Youjin Natalie Jeong | Dentist | 160 Lincoln Rd, Lincoln, MA 01773 | 2007-03-09 |
| 1407015258 | Annamaria Sanantonio | Massage Therapist | 62a Conant Rd, Lincoln, MA 01773-0563 | 2008-06-06 |
| 1306174990 | Autumn Research | Skilled Nursing Facility | 5b S Commons, Lincoln, MA 01773-1114 | 2009-11-19 |
| 1316912264 | Suzanne Stoterau | Psychiatry & Neurology | 6 Brooks Rd, Lincoln, MA 01773-1312 | 2006-02-22 |
| 1174647127 | Julia Anne Tryder | Student in an Organized Health Care Education/Training Program | 7 Juniper Ridge Rd, Lincoln, MA 01773-1502 | 2007-03-16 |
| 1790809754 | Alanna Claire Tryder | Student in an Organized Health Care Education/Training Program | 7 Juniper Ridge Rd, Lincoln, MA 01773-1502 | 2007-03-16 |
| Find all providers in zip 01773 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861511214 | Ginger L Manzo | Psychiatry & Neurology | 2 Wake Robin Rd Unit 206, Lincoln, RI 02865-4241 | 2007-03-28 |
| 1801281126 | Ashley Marcuccio | Psychiatry & Neurology | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2015-04-02 |
| 1396882916 | Jose Gary B Nadala | Psychiatry & Neurology | 2222 S 16th St, Ste 410, Lincoln, NE 68502-3785 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
| 1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
| 1326368325 | Circle of Life Md LLC | Psychiatry & Neurology | 203 Willow St Bldg B, South Hamilton, MA 01982-2292 | 2010-06-02 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
| 1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
| Find all providers with the same taxonomy | ||||
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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.