Danielle M Russo, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024364 Issued in NY

Practice address

16 Dakin Ave Ste 110
Mount Kisco, NY 10549-2826

Phone

(516) 225-8767

NPI assigned

Jul 15, 2014

Last updated

Jan 12, 2025By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing the Wounded Soul LLC

  • Clinical Psychologist
  • Mount Kisco, NY
  • NPI 1306630199
  NPD
• Psychological Centers

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1881754828

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1114334851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DAKIN AVE STE 110",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492826",
            "telephone_number": "516-225-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DAKIN AVE STE 110",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492826",
            "telephone_number": "516-225-8767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Grand St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024800",
            "country_code": "US",
            "telephone_number": "212-420-1970",
            "fax_number": "212-420-1906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "DANIELLE",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLACE OF EMPLOYMENT",
            "identifier": "203368734",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valentina Maria Ruggiero-Cardile, MS
• Katherine Ruiz, NP
• Nicholas Rummo, MD
• Kathleen M Rund, MSW
• Kim Mary Ruska, M.D.
• Melanie Ryan, LCSWR
• Tricia Zwaresh Sabini, OTR
• Sadaf Lodhi, DO PC
• Lauren Rachel Safran, LCSW
• Marie Helene Sajous, M.D., M.S.

• Clinical Psychologist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; 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.