DEBORAH J. RUSSO (NPI# 1629197546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629197546 |
| Entity Type | Individual |
| Full Name | DEBORAH J. RUSSO |
| Credential | PHD |
| Practice Address |
905 Johns Hopkins Dr Ecu Physicians Psychiatric Medicine Outpatient Center Greenville NC 27834-7225 |
| Mailing Address |
Po Box 751069 Ecu Physicians Charlotte NC 28275-1069 |
| Practice Telephone | 2527441406 |
| Practice Fax Number | 2527442419 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3986 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 162G7 | 01 |
| NC | 6001277 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358349 | Deborah Russo | Registered Nurse | 11 Elderberry Ln, Ellington, CT 06029-2433 | 2020-05-24 |
| 1427258748 | Deborah Marie Russo | Licensed Practical Nurse | 59 Winona Park Dr, Bernhards Bay, NY 13028-3100 | 2007-07-24 |
| 1780753277 | Deborah Anne Russo | Psychologist | 127 Church St Ne Ste 350, Marietta, GA 30060-8642 | 2006-11-07 |
| 1861462699 | Deborah Russo | Social Worker | 27 Sunnyside Dr, Montvale, NJ 07645-1319 | 2006-01-24 |
| 1093129744 | Deborah J Russo | Social Worker | 366 Sw 5th Ave, Suite 199, Meridian, ID 83642-8600 | 2014-06-19 |
| Street Address |
905 JOHNS HOPKINS DR ECU PHYSICIANS PSYCHIATRIC MEDICINE OUTPATIENT CENTER |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-7225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923620 | Diana J Antonacci | Psychiatry & Neurology | 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Medicine- Outpatient Clinic, Greenville, NC 27834-7225 | 2005-06-21 |
| 1932706421 | Twanna T Hill | Registered Nurse | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2020-10-07 |
| 1962912253 | Matthew A Wilson | General Practice | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2017-10-02 |
| 1306371893 | Amrish Tulsi Pipalia | Student in an Organized Health Care Education/Training Program | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2017-04-22 |
| 1073965349 | Samantha Karlene Brown Cunningham | Psychologist | 905 Johns Hopkins Dr, Ecu Physicians Psychiatry, Greenville, NC 27834-2056 | 2016-07-11 |
| 1023464195 | Elham Rahmani | Psychiatry & Neurology | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2016-05-09 |
| 1124408190 | Richelle Lafaye Smallwood | Social Worker | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2015-06-04 |
| 1205233426 | Ashley Joi Britton | Psychologist | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2014-12-03 |
| 1821421876 | Ecu Telepsychiatry Center | Psychiatry & Neurology | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2013-08-14 |
| 1811245947 | Lindsay Susan Price | Social Worker | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181125 | Christopher Moylan | Psychologist | 200 Patewood Dr Bldg A, Greenville, SC 29615-3593 | 2020-10-16 |
| 1861000978 | Lauren Gay Fontenot | Psychologist | 3453 Pelham Rd Ste 107, Greenville, SC 29615-7400 | 2020-07-15 |
| 1881247476 | Reliant Mental Health Services LLC | Psychologist | 221- 223 Adley Way Ste 221, Greenville, SC 29607-6511 | 2019-07-23 |
| 1295272078 | Stephanie Wallio | Psychologist | 1705 Rondo Dr, Greenville, NC 27858-5337 | 2017-01-31 |
| 1346690062 | Dale Lawrence Sanders | Psychologist | 4 Creekstone Ct, Greenville, SC 29609-4845 | 2016-06-14 |
| 1336587278 | Andrea Cantarelli | Psychologist | 3217 Meeting Pl, Greenville, NC 27858-8000 | 2013-06-13 |
| 1235478355 | Lowdergroup LLC | Psychologist | 86 Villa Rd Ste B, Greenville, SC 29615-3052 | 2013-02-08 |
| 1952699456 | Christy Mangione Walcott | Psychologist | 104 Rawl Bldg, Mailstop 565, Department of Psychology, Greenville, NC 27858-4353 | 2011-07-18 |
| 1720386683 | Ecu Pass Clinic | Psychologist | 311 Rawl Building, East 5th St., East Carolina University, Greenville, NC 27858-4353 | 2011-03-02 |
| 1336442953 | North Kent Guidance Serivces | Psychologist | 106 S Greenville West Dr, Suite 3, Greenville, MI 48838-3504 | 2010-12-21 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DEBORAH J. RUSSO.
| 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.