DR. JOSEPH ANTHONY RUSSO (NPI# 1750407664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750407664 |
Entity Type | Individual |
Full Name | DR. JOSEPH ANTHONY RUSSO |
Credential | PSY.D. |
Practice Address |
25 Canterbury Rd Suite #308 Rochester NY 14607-3403 |
Practice Telephone | 5855066096 |
Practice Fax Number | 5854425971 |
Mailing Telephone | 5855066096 |
Mailing Fax Number | 5854425971 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
012173 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | PREFERRED CARE | 183488FC | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104215441 | Joseph Russo | Physical Therapist | 41w 470 Silvana Dr., Elgin, IL 60124 | 2015-01-09 |
1184946477 | Joseph Russo I | Pharmacist | 741 E Little Creek Rd, Norfolk, VA 23518-3709 | 2010-02-27 |
1073770194 | Joseph Abel Russo | Psychiatry & Neurology | 177 Post Rd W, 2nd Floor, Westport, CT 06880-4652 | 2008-05-16 |
1104032184 | Joseph Anthony Russo | Dentist | 155 Seashore Dr, Jupiter, FL 33477-9687 | 2007-05-15 |
1982823753 | Joseph E. Russo | Physical Therapist | 274 1st Ave, 7 D, New York, NY 10009-1809 | 2007-04-24 |
1356443030 | Joseph A. Russo | Chiropractor | 1605 Locust Hill Rd, Suite 101, Greer, SC 29651-6075 | 2006-09-02 |
1679528921 | Joseph Patrick Russo | Radiology | 95 Highland Ave Ste 130, Bethlehem, PA 18017-9483 | 2006-05-24 |
1053393884 | Joseph Louis Russo | Chiropractor | 500 Park Blvd, Massapequa Park, NY 11762-2742 | 2005-11-17 |
1336121334 | Joseph P. Russo | Dentist | 15 W Water St, Wakefield, MA 01880-2914 | 2005-11-16 |
1891791786 | Joseph Scott Russo | Family Medicine | 1300 Johnson St, Elkhart, IN 46514-3406 | 2005-06-24 |
Street Address |
25 CANTERBURY RD SUITE #308 |
City | ROCHESTER |
State | NY |
Zip Code | 14607-3403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093844425 | Elizabeth Heard Driscoll | Social Worker | 25 Canterbury Rd, Suite 306, Rochester, NY 14607-3403 | 2007-03-02 |
1851863195 | Jesse Quinn Williams | Counselor | 25 Canterbury Rd, Rochester, NY 14607-3403 | 2018-12-27 |
1568906642 | Nickolas Clidas | Massage Therapist | 25 Canterbury Rd, Suite 200, Rochester, NY 14607-3403 | 2016-12-08 |
1144698291 | Lisa Marie Cavallaro | Counselor | 25 Canterbury Rd, Suite 316, Rochester, NY 14607-3403 | 2015-09-07 |
1952531105 | Glenn Joseph Zermeno | Social Worker | 25 Canterbury Rd, Suite 311, Rochester, NY 14607-3403 | 2009-07-22 |
1225257124 | Regina Bella Gonek | Social Worker | 25 Canterbury Rd, Suite 305, Rochester, NY 14607-3403 | 2007-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
1184274920 | Rhodette Gayhart | Technician | 70 Edmonds St., Apt. 2, Rochester, NY 14607 | 2019-09-13 |
1194209031 | Amy Knickerbocker | Nurse Practitioner | 224 Alexander St Ste 220, Rochester, NY 14607 | 2018-09-17 |
1366948424 | Monekia Michelle Moore | Peer Specialist | 320 North Goodman Street, Rochester, NY 14607 | 2018-04-05 |
1386160414 | Meghan Grant | Physical Therapist | 26 Harper Street, Rochester, NY 14607 | 2017-08-21 |
1548793722 | Burd Home Health LLC | In Home Supportive Care | 274 N Goodman St Ste A403, Rochester, NY 14607 | 2017-04-05 |
1154718799 | Azadeh Shahryarinejad | Social Worker | 16 North Goodman Street, Rochester, NY 14607 | 2015-04-21 |
1386086957 | Robert M Kerper Md, Pllc | Internal Medicine | 26 South Goodman Street, Rochester, NY 14607 | 2013-07-24 |
1275978058 | Sarah Lynn Fisher | Speech-Language Pathologist | Leap for Kids Ot, Pt & Slp, 372 N. Goodman St., Rochester, NY 14607 | 2013-05-07 |
1639410350 | Jonell Mae Belcher | Social Worker | 235 Alexander St Ste 4, Rochester, NY 14607 | 2013-03-05 |
Find all providers in zip 14607 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
Find all providers in ROCHESTER |
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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.