Active NPI
Amelia Angela Russo-Neustadt, M.D., PH.D.
- Psychiatry Physician
- Irvine, CA
National Provider Identifier
1003268020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G073815
- Practice address
- 101 Pacifica
Suite 160
Irvine, CA 92618-3337 - Phone
- (949) 453-8805
- NPI assigned
- Jul 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G073815 | CA | Primary |
Addresses
Primary practice location
101 Pacifica
Suite 160
Irvine, CA 92618-3337
Mailing address
101 Pacifica
Suite 160
Irvine, CA 92618-3337
Phone (949) 453-8805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G073815 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1003268020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PACIFICA",
"address_2": "SUITE 160",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183337",
"telephone_number": "949-453-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PACIFICA",
"address_2": "SUITE 160",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183337",
"telephone_number": "949-453-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO-NEUSTADT",
"first_name": "AMELIA",
"middle_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-01",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G073815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.