Mona Russo, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

23837 Issued in CA

Practice address

112 Walnut Ave
Corte Madera, CA 94925-1031

Phone

(415) 509-3786

NPI assigned

Jan 28, 2017

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

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": "1485561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1063959088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WALNUT AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251031",
            "telephone_number": "415-509-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WALNUT AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251031",
            "telephone_number": "415-509-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MONA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "23837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne-Olivia S. Rose, PSY.D.
• Robert Christopher Ross, D.C.
• Jane S Rowe, M.D.
• Ruth Rubin, M.D.
• Drew Ruebbelke, DC
• Patricia Rutledge, APCC
• Taiya Ryan, M.A., CCC-SLP
• Kristen Sacramento, MOT
• Taylor Miranda Sanchez, AGPCNP-BC
• Ellen McDaniels Sanford, MFT

• Speech-Language Pathologist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; 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.