DR. DANIEL J RUSSO (NPI# 1487858379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487858379 |
| Entity Type | Individual |
| Full Name | DR. DANIEL J RUSSO |
| Credential | ED.D. |
| Practice Address |
208 W Main St Mechanicsburg PA 17055-6227 |
| Practice Telephone | 7177663922 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
PS002903L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780231787 | Daniel Russo | Physical Therapy Assistant | 2142 Utopia Pkwy, Whitestone, NY 11357-4142 | 2019-08-23 |
| 1740718212 | Daniel Alexander Russo | Family Medicine | 562 W 2nd Ave, Lititz, PA 17543-1816 | 2017-05-30 |
| 1043533268 | Daniel Russo | Pharmacist | 271 Beach 20th St, Far Rockaway, NY 11691-3625 | 2010-03-02 |
| 1316951882 | Daniel Joseph Russo | Internal Medicine | 14445 87th Ave, Briarwood, NY 11435-3109 | 2006-07-28 |
| Street Address |
208 W MAIN ST |
| City | MECHANICSBURG |
| State | PA |
| Zip Code | 17055-6227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240899 | Noah Robert Rhinehart | Specialist/Technologist | One College Drive Messiah College, Mechanicsburg, PA 17055 | 2020-03-13 |
| 1104470863 | Anntoinette Hobbs | Prosthetist | 19 Railroad Avenue, Mechanicsburg, PA 17055 | 2019-07-30 |
| 1467943324 | Christin M Brennan | Nurse Practitioner | 5401 Oxford Dr Apt 6, Mechanicsburg, PA 17055 | 2018-05-25 |
| 1851680656 | Perll Diagnostics Inc | Clinical Medical Laboratory | 5010 Ritter Rd, Suite 104, Mechanicsburg, PA 17055 | 2011-04-01 |
| 1538463377 | April Bowers | Counselor | 321 Gettysburg Pike, Mechanicsburg, PA 17055 | 2011-01-10 |
| 1639322951 | Capital Area Intermediate Unit | Clinic/Center | 405 E Winding Hill Road, Hill Top Academy, Mechanicsburg, PA 17055 | 2008-10-30 |
| 1548411648 | Susan Gabrovsek | Counselor | 960 Century Drive, Mechanicsburg, PA 17055 | 2008-10-07 |
| 1114180247 | Select Physical Therapy Holdings, Inc | Durable Medical Equipment & Medical Supplies | 4714 Gettysburg Road, Legal, Mechanicsburg, PA 17055 | 2008-07-09 |
| 1326255910 | Kathy C. Burson | Psychologist | 400 Alison Ave, Mechanicsburg, PA 17055 | 2007-05-16 |
| 1720290836 | Fields Family Dentistry, LLC | Dentist | 2101 Aspen Drive, Mechanicsburg, PA 17055 | 2007-05-03 |
| Find all providers in zip 17055 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177507 | Meredith Petruccelli | Psychologist | 2 Station Way Rd Ste 2, Chadds Ford, PA 19317-9782 | 2020-09-08 |
| 1013520477 | Colleen Bell | Psychologist | 3085 Church Street, Springtown, PA 18081 | 2020-08-26 |
| 1679184683 | Reginald Candio | Psychologist | 117 W Gay St Ste 210, West Chester, PA 19380-2938 | 2020-08-12 |
| 1639788292 | Marisa Morelli | Psychologist | 3117 William Rd, Garnet Valley, PA 19060-2045 | 2020-07-29 |
| 1306460381 | Richard Xavier Glosser | Psychologist | 708 Rosewood Dr, Pittsburgh, PA 15239-1065 | 2020-06-04 |
| 1770105207 | Carissa Marie Bowersox | Psychologist | 71 Bowersox Ln, Liverpool, PA 17045-8421 | 2020-05-06 |
| 1205464393 | Amanda J Buckley | Psychologist | 7307 Walnut Ln, Philadelphia, PA 19138-1331 | 2020-04-01 |
| 1730725060 | Melinda Hodder | Psychologist | 408 Stiefel Ave, Ellwood City, PA 16117-2946 | 2019-11-21 |
| 1922643659 | Romulo Emilio Macias Sr. | Psychologist | 231 Tim St, Stroudsburg, PA 18360-8437 | 2019-11-18 |
| 1871137836 | Mary Wykle | Psychologist | 1015 Fisher St, Chester Springs, PA 19425-3804 | 2019-11-03 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSBURG |
| Zip Code | 17055 |
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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.