Active NPI
Karen Russo PHD LLC
- Psychologist
- Newark, DE
National Provider Identifier
1104188762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- B1-0000259
- Legal business name
- KAREN RUSSO PHD LLC
- Practice address
- 500 Creek View Rd
Suite 109
Newark, DE 19711-8549 - Phone
- (302) 738-3140
- Fax
- (302) 454-8026
- NPI assigned
- Jun 11, 2012
- Last updated
- Apr 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Russo, PHD
- Title
- Owner, Psychologist
- Phone
- (302) 738-3140
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | B1-0000259 | DE | Primary |
Addresses
Primary practice location
500 Creek View Rd
Suite 109
Newark, DE 19711-8549
Mailing address
500 Creek View Rd
Suite 109
Newark, DE 19711-8549
Phone (302) 738-3140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Newark, DE
- NPI 1073529905
-
- Clinical Social Worker
- Newark, DE
- NPI 1083714596
-
- Clinical Social Worker
- Newark, DE
- NPI 1255512059
-
- Psychologist
- Newark, DE
- NPI 1568596575
-
- Clinical Psychologist
- Ardmore, PA
- NPI 1265783831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427846400000",
"number": "1104188762",
"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": {
"organization_name": "KAREN RUSSO PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-11",
"last_updated": "2015-04-01",
"status": "A",
"authorized_official_last_name": "RUSSO",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
"authorized_official_telephone_number": "302-738-3140",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DE",
"license": "B1-0000259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
- Jared David Kaplan, DPT
- Ryan Matthew Espejo Karabell, DO
- Jodi Karabin, LPCMH, CADC, NCC
- Eymorfia Viky Karaoglanis
- Kare at Home Inc: a Personal Assistance Services (Kare at Home)
- Parag J Karnik, RPH
- Sachin Jayant Karnik, PH.D., LCSW, CPS
- Lynnanne Kasarda, MD
- Arielle Katcher, MD
- Katherine Elizabeth Brown (Radiant Light Birth and Bereavement Services)
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.