Joshua Russell, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

279455 Issued in NY

Practice address

4955 N Bailey Ave Ste 130
Amherst, NY 14226-1206

Phone

(716) 835-1246

Fax

(716) 835-0396

NPI assigned

Apr 30, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Psychiatric Practice IncGroup PAC ID 3375442056, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• University Psychiatric Practice, Inc

  • Psychiatry Physician
  • Buffalo, NY
  • NPI 1588743702
  Medicare reassignment Care Compare group NPD
• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment NPD
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1427007046
  NPD
• Kaleida Health

  dba Kaleida Health Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1992540546
  NPD
• University at Buffalo Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Williamsville, NY
  • NPI 1235155581
  NPD
• Howard C. Wilinsky, M.D., P.C.

  • Psychiatry Physician
  • Amherst, NY
  • NPI 1619150380
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275891046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 N BAILEY AVE STE 130",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261206",
            "telephone_number": "716-835-1246",
            "fax_number": "716-835-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 N BAILEY AVE STE 130",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261206",
            "telephone_number": "716-835-1246",
            "fax_number": "716-835-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Grider St",
            "address_2": "General Psychiatry Residency Program",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153021",
            "country_code": "US",
            "telephone_number": "716-898-4221",
            "fax_number": "716-898-4538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1028 Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142021102",
            "country_code": "US",
            "telephone_number": "716-859-5454",
            "fax_number": "716-859-5585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 Grider St",
            "address_2": "General Psychiatry Residency Program",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142153021",
            "country_code": "US",
            "telephone_number": "716-898-4221",
            "fax_number": "716-898-4538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOSHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "279455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Rubin, ANP
• Stuart Rubin, MD
• Amanda Rubino, M.A.
• Ruddi Barbolini PT PC (Williamsville Physical Therapy)
• Rachael Ruppert, PMHNP
• Joy Russell, RPH
• Patricia Russell
• Joseph A. Rutecki, D.D.S.
• Jerome Michael Rutowski, FNP
• Ryan Resources, Inc. (The Care Connection Lactation & Wellness Center)

• Child & Adolescent Psychiatry Physician in Amherst, NY
• Providers in Amherst, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.