Tammy J Russo, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401129-01 Issued in NY

Practice address

2141 Eastern Pkwy
Niskayuna, NY 12309-6343

Phone

(518) 518-8172

Fax

(518) 982-1277

NPI assigned

Jun 23, 2008

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

• Tammy J Leblanc Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tammy J Leblanc NP Psychiatry PC

  • Nurse Practitioner
  • Niskayuna, NY
  • NPI 1104186717
  NPD (past)
• Tearle Ashby LCSW PC

  • Clinical Social Worker
  • Niskayuna, NY
  • NPI 1578837589
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1093976003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 EASTERN PKWY",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123096343",
            "telephone_number": "518-982-1274",
            "fax_number": "518-982-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 EASTERN PKWY",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123096343",
            "telephone_number": "518-518-8172",
            "fax_number": "518-982-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "TAMMY",
        "middle_name": "J",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401129-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "LEBLANC",
            "middle_name": "J",
            "credential": "NPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rite Aid
• Bart M Rizzuto, DDS
• Megan Ann Rogan, PHARMD
• Mark Rogerson, PH.D.
• Helen P Rothermel, LCSW-R
• Elizabeth Sabourin, PSYD
• William Salavantis
• Sam'S Tutoring, LLC
• Denise Morett Schneider, PSY.D.
• Holly Serrao, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Niskayuna, NY
• Providers in Niskayuna, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.