Karen Russo, PH D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

B10000259 Issued in DE

Practice address

500 Creek View Rd
Suite 109
Newark, DE 19711-8549

Phone

(302) 738-3140

Fax

(302) 454-8026

NPI assigned

Jul 31, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Karen Russo PHD LLC

  • Psychologist
  • Newark, DE
  • NPI 1104188762
  Medicare reassignment NPD Authorized official
• Priscilla Putnam, PH.D., LLC

  • Clinical Psychologist
  • Newark, DE
  • NPI 1134323322
  NPD (past)
• Sharon E. Cooper, LCSW, LLC

  • Clinical Social Worker
  • Newark, DE
  • NPI 1548464985
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1073529905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CREEK VIEW RD",
            "address_2": "SUITE 109",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197118549",
            "telephone_number": "302-738-3140",
            "fax_number": "302-454-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CREEK VIEW RD",
            "address_2": "SUITE 109",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197118549",
            "telephone_number": "302-738-3140",
            "fax_number": "302-454-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "KAREN",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B10000259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000025129",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Scott Russell, RPH
• Bryon Russell, LAC
• Carolyn Ann Russell, LCSW
• Jeffrey B Russell, M.D., F.A.C.O.G
• Vincent Robert Russell, PA-C
• Patricia Alexandra Russo
• Jeffrey Ruta
• Salena Rutherford, MSW
• John William Rutz, PA-C
• Randall Ryan, MD

• Psychologist in Newark, DE
• Providers in Newark, DE by specialty
• Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.