DR. DEBORAH ANNE RUSSO (NPI# 1780753277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780753277 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH ANNE RUSSO |
| Credential | PSY.D. |
| Practice Address |
127 Church St Ne Ste 350 Marietta GA 30060-8642 |
| Mailing Address |
2131 Bayford Ct Sw Marietta GA 30064-4198 |
| Practice Telephone | 7704258275 |
| Practice Fax Number | 7704258276 |
| Mailing Telephone | 6787707369 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002379 | GA | Behavioral Health & Social Service Providers |
| 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 |
| 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 |
| 1629197546 | Deborah J. Russo | Psychologist | 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Medicine Outpatient Center, Greenville, NC 27834-7225 | 2007-03-29 |
| Street Address |
127 CHURCH ST NE STE 350 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-8642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678800 | Brennan Allen | Counselor | 127 Church St Ne Ste 350, Marietta, GA 30060-8642 | 2019-09-16 |
| 1013373315 | Daniel Peeks | Counselor | 127 Church St Ne Ste 350, Marietta, GA 30060-8642 | 2016-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790245173 | Hopebridge, LLC | Psychologist | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2019-03-22 |
| 1053812537 | Carmen Julia Neyra | Psychologist | 4939 Lower Roswell Rd Bldg C, Marietta, GA 30068-4338 | 2018-02-21 |
| 1467903609 | Alesya Korey | Psychologist | 821 Devonwood Trl Nw, Marietta, GA 30064-5439 | 2016-10-24 |
| 1174953780 | Marietta Associated Psychological Services Inc | Psychologist | 2501 E Piedmont Rd Ste 147, Marietta, GA 30062-7754 | 2013-11-18 |
| 1902248024 | Kavita Joshi Subrahmanian | Psychologist | 1778 Millhouse Run, Marietta, GA 30066-8012 | 2013-07-18 |
| 1154688877 | Terry A Crump | Psychologist | 134 Powers Ferry Rd Se Ste B, Marietta, GA 30067-7589 | 2012-04-19 |
| 1710126461 | Susan Sevier Buffington | Psychologist | 4608 Lower Roswell Rd, Marietta, GA 30068-4237 | 2009-02-19 |
| 1962655324 | Kenneth C Molkner Md PC | Psychologist | 2501 Windy Hill Rd Se, Suite 245, Marietta, GA 30067-8663 | 2008-10-29 |
| 1205044278 | Lisa Rubin | Psychologist | 282 Village Pkwy Ne, Marietta, GA 30067-4062 | 2007-05-21 |
| 1588876221 | Richard E. Shook, Ph.d., P.C. | Psychologist | 127 Cherry Street, Marietta, GA 30060 | 2007-05-04 |
| Find all providers in MARIETTA | ||||
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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.