Active NPI
Emily Catherine Russell, NCSP
- School Psychologist
- Lisbon, NH
National Provider Identifier
1023617073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 114276
- Practice address
- 25 Highland Ave
Lisbon, NH 03585-6112 - Phone
- (603) 730-2997
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 114276 | NH | Primary |
Addresses
Primary practice location
25 Highland Ave
Lisbon, NH 03585-6112
Mailing address
260 Cottage St Ste 301
Littleton, NH 03561-4137
Phone (603) 444-3925
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114276 | NH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1023617073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 COTTAGE ST STE 301",
"city": "LITTLETON",
"state": "NH",
"postal_code": "035614137",
"telephone_number": "603-444-3925",
"fax_number": "603-444-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HIGHLAND AVE",
"city": "LISBON",
"state": "NH",
"postal_code": "035856112",
"telephone_number": "603-730-2997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "EMILY",
"middle_name": "CATHERINE",
"credential": "NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NH",
"license": "114276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisbon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.