DR. PATRICK JOSEPH RUSSOLILLO (NPI# 1366593477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366593477 |
| Entity Type | Individual |
| Full Name | DR. PATRICK JOSEPH RUSSOLILLO |
| Credential | PH.D |
| Practice Address |
154 College St Middletown CT 06457-3201 |
| Mailing Address |
238 Timber Ridge Rd Middletown CT 06457-1538 |
| Practice Telephone | 8603449694 |
| Practice Fax Number | 8603462947 |
| Mailing Telephone | 8603449694 |
| Mailing Fax Number | 8603462947 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
0001383 | CT | Behavioral Health & Social Service Providers |
| Street Address |
154 COLLEGE ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982626438 | David Spalding | Social Worker | 154 College St, Middletown, CT 06457-3201 | 2006-07-24 |
| 1205303112 | Edward George Langford II | Counselor | 154 College St, Middletown, CT 06457-3201 | 2018-10-29 |
| 1093089948 | College Street Counseling Center LLC | Counselor | 154 College St, Middletown, CT 06457-3201 | 2012-02-23 |
| 1275685331 | Sally F Baumer | Social Worker | 154 College St, Middletown, CT 06457-3201 | 2007-01-17 |
| 1477603876 | Phillip Sylvester | Psychologist | 154 College St, Middletown, CT 06457-3201 | 2007-01-11 |
| 1821155391 | Mark Emanuel Kaplan | Psychologist | 154 College St, Middletown, CT 06457-3201 | 2007-01-03 |
| 1821166802 | Rosemary Bleyer | Psychologist | 154 College St, Middletown, CT 06457-3201 | 2006-11-30 |
| 1518079730 | Kathleen Watanabe | Counselor | 154 College St, Middletown, CT 06457 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013018589 | Samantha Wesley Kohn | Psychologist | 790 Route 211 E, Middletown, NY 10941-1448 | 2006-09-26 |
| 1548664295 | Center for Conscious Healing | Psychologist | 292 Carter Dr, Suite B, Middletown, DE 19709-5846 | 2014-10-09 |
| 1083035455 | Athena Anne Drewes | Psychologist | 390 Crystal Run Rd, Suite 107, Middletown, NY 10941-4050 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730912 | Chelsea Morgan | Psychologist | 300 George St Ste 900, New Haven, CT 06511-6660 | 2020-11-08 |
| 1073127270 | Whitney Buckley | Psychologist | 2505 Black Rock Tpke Ste 2, Fairfield, CT 06825-2408 | 2020-09-04 |
| 1194333823 | Brian Joseph Lussier | Psychologist | 15 Preston Rd, Terryville, CT 06786-4209 | 2020-07-20 |
| 1407403934 | Educational Advancement Associates | Psychologist | 15 Schoolhouse Lndg, East Granby, CT 06026-2601 | 2019-08-20 |
| 1053770982 | Lori Attanasio Woodring | Psychologist | 7 Sylvan Ln, Old Greenwich, CT 06870-2318 | 2016-02-20 |
| 1831562255 | Carlene Davidson | Psychologist | 300 Hebron Ave Ste 217, Glastonbury, CT 06033-2192 | 2015-11-06 |
| 1912387606 | Kathryn Hagen | Psychologist | 86 John St Apt C, New Britain, CT 06051-2762 | 2015-06-08 |
| 1376947937 | Nicholas Gelbar | Psychologist | 222 Warrenville Rd, Mansfield Center, CT 06250-1128 | 2014-10-10 |
| 1710320049 | David Gallaway | Psychologist | 238 Ratlum Rd, New Hartford, CT 06057-2318 | 2013-04-17 |
| 1992056675 | New Connection Inc | Psychologist | 446 Blake St # 200a, New Haven, CT 06515-1286 | 2012-09-21 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on DR. PATRICK JOSEPH RUSSOLILLO.
| 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.