Individual provider Active NPI

Sherriann Du Russel

  • School Psychologist
  • Hauppauge, NY
National Provider Identifier
1437630100
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
1363 Veterans Memorial Hwy
Hauppauge, NY 11788-3046
Phone
(631) 366-3876
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NY Primary

Addresses

Primary practice location

1363 Veterans Memorial Hwy
Hauppauge, NY 11788-3046

Mailing address

1363 Veterans Memorial Hwy
Hauppauge, NY 11788-3046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1437630100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 VETERANS MEMORIAL HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 VETERANS MEMORIAL HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883046",
            "telephone_number": "631-366-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU RUSSEL",
        "first_name": "SHERRIANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.