Russell L Livingston, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

57414 Issued in MA

Practice address

202 W Plain St
Wayland, MA 01778-4346

Phone

(617) 943-2330

Fax

(810) 267-9375

NPI assigned

Jul 12, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Department of Mental Health

  • Mental Illness Community Based Residential Treatment Facility
  • Springfield, MA
  • NPI 1225155898
  NPD (past)
• Whitman Counseling

  • Exclusive Provider Organization
  • Whitman, MA
  • NPI 1194051524
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1407881600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W PLAIN ST",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784346",
            "telephone_number": "617-943-2330",
            "fax_number": "810-267-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W PLAIN ST",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784346",
            "telephone_number": "617-943-2330",
            "fax_number": "810-267-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "RUSSELL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "57414",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "57414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3153592",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO PPO FEDERAL",
            "identifier": "J16493",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca J Leong, M.D.
• Beth Goldman Leven, R.P.T.
• Mimi Sohn Licht, LICSW, BCD
• Lit Dental, P.C.
• Livindi Medical Group Illinois PLLC
• Longfellow Holistic Health Center
• Neena Lukose, RPH
• Gail Elizabeth Lydon, RN MS CS
• Robert Keller Macmath II, MS
• Hanna Macmillan, SLP

• Child & Adolescent Psychiatry Physician in Wayland, MA
• Providers in Wayland, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.