Amy L Russo, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

122974 Issued in CA

Practice address

3636 N 1St St Ste 135&154
Fresno, CA 93726-6800

Phone

(559) 225-1464

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

No

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

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.

• Turning Point of Central California Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1477967479
  NPD (past)

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1265034334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16398 ANACONDA RD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368214",
            "telephone_number": "559-975-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 135&154",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266800",
            "telephone_number": "559-225-1464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 N Blackstone Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937011914",
            "country_code": "US",
            "telephone_number": "559-497-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Russell
• Michele C Russell, PH.D.
• Peggy L Russell
• Roslynn Pertrise Russell, PT 34682
• Steven James Russell
• Chad Russo, PHAMD
• James Russo
• Maxwell Ruth
• Susan Rutkowski
• Judy Rutledge

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.