Individual provider Active NPI

Cristy L. Cox Russo, PH.D.

  • Clinical Neuropsychologist
  • Plymouth, MA
National Provider Identifier
1457516775
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY8775 Issued in FL
Practice address
32 Court St Ste 7
Plymouth, MA 02360-8733
Phone
(774) 472-2399
NPI assigned
Jul 25, 2008
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 9153 MA
Clinical Neuropsychologist 103G00000X 1067 LA
Clinical Neuropsychologist 103G00000X PY8775 FL Primary
Clinical Psychologist 103TC0700X 1067 LA
Clinical Psychologist 103TC0700X 9153 MA

Addresses

Primary practice location

32 Court St Ste 7
Plymouth, MA 02360-8733

Mailing address

32 Court St Ste 7
Plymouth, MA 02360-8733
Phone (774) 472-2399

Other practice location 1

451 Andover St Ste 125
North Andover, MA 01845-5070
Phone (774) 472-2399

Other practice location 2

13535 Nemours Pkwy
Orlando, FL 32827-7402
Phone (904) 567-4000

Other names 1

  • Cristy L Akins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241227000721 AL Practitioner - Clinical Psychologist 6103353487 Reassigns benefits to 1 organization
I20250411002638 NC Practitioner - Clinical Psychologist 6103353487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY8775FLMDClinical Neuropsychologist
9153MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 19, 2024 Accepting new patients
Lecci Psychological Services, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Bend Health Psychiatric Services Kansas, P.a. Past Accepting new patients
Bend Health Psychiatric Services New England PA Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

4415 Junction Park Dr
Wilmington, NC 28412
Phone (910) 791-6277

Interoperability endpoints

  • Direct secure messaging: crusso43984@direct.nemours.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1457516775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 COURT ST STE 7",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608733",
            "telephone_number": "774-472-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 COURT ST STE 7",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608733",
            "telephone_number": "774-472-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Andover St Ste 125",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018455070",
            "country_code": "US",
            "telephone_number": "774-472-2399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13535 Nemours Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277402",
            "country_code": "US",
            "telephone_number": "904-567-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "CRISTY",
        "middle_name": "L. COX",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "9153",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "LA",
            "license": "1067",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8775",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1067",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTY",
            "last_name": "AKINS",
            "middle_name": "L",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.