Phyllis Rifkin-Russell, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000559-1 Issued in NY

Practice address

26 Thackery Rd
Rochester, NY 14610-3361

Phone

(585) 232-2280

NPI assigned

May 29, 2015

Last updated

May 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Phyllis Jane Rifkin-Russell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1053790527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 THACKERY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146103361",
            "telephone_number": "585-232-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 THACKERY RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146103361",
            "telephone_number": "585-232-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFKIN-RUSSELL",
        "first_name": "PHYLLIS",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000559-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "RIFKIN-RUSSELL",
            "middle_name": "JANE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katherine Marron Riera, M.D.
• Jonathon Brook Riesdorph, PHARMD
• Brian C Riesenberger, PA-C
• Elizabeth J Rieth, PT
• Katherine Keiko Suzuki Rieth, MD
• Alan Steven Rifkin
• Jennifer Riggerello, LPN
• Shanice Maria Riggins
• Kristina Riggio
• Patrick Riggs, MD

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.