Russell W Masterson PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY2435 Issued in FL

Legal business name

RUSSELL W MASTERSON PA

Practice address

15395 Royal Fern LN W
Naples, FL 34110

Phone

(239) 513-6013

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Russell Masterson, PHD

Title

Owner

Phone

(239) 513-6013

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1487730461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111600",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15395 ROYAL FERN LN W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34110",
            "telephone_number": "239-513-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL W MASTERSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-513-6013",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY2435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Yallinne Ruiz-Perez
• Jennifer Ruiz
• Juliana Darilys Ruiz
• Karen Ruiz
• Ana Yero Ruli
• Kathryn Joy Russell, M.D.
• Maxine M Russell, PH.D
• Vanessa Ann Russino, FNP
• Brianna Russo
• Mark Steven Russo, MD, PHD

• Psychologist in Naples, FL
• Providers in Naples, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.