Russell S. Wolff, PHD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

018097 Issued in NY

Legal business name

RUSSELL S. WOLFF, PHD

Practice address

C/O Independent Living Center of the Hudson Valley
15-17 Third Street
Troy, NY 12180

Phone

(518) 768-0667

Fax

(518) 279-7559

NPI assigned

Jun 3, 2009

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell S Wolff, PH.D.NPI 1992867774

Title

Psychologist

Phone

(518) 768-0667

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Wolff, PH.D.

  • Counseling Psychologist
  • Troy, NY
  • NPI 1992867774
  NPD (past) Authorized official

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1588890784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY",
            "address_2": "15-17 THIRD STREET",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-768-0667",
            "fax_number": "518-279-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY",
            "address_2": "15-17 THIRD STREET",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-768-0667",
            "fax_number": "518-279-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL S. WOLFF, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "518-768-0667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "018097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03124210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen H Royston, FNP
• Richard A Rubin, M.D.
• Casey Rudd, MSED
• Brendan Patrick Ruddy, PMHNP
• Shaquoia Renee Ruffin
• Sherry Russell, LPN
• Denise Russo, MSIS, MA, CCC-SLP
• Allison C Ryan
• Connor James Gerard Ryan, FNP-BC
• Lori Hart Ryan, P.T.

• Community/Behavioral Health Agency in Troy, NY
• Providers in Troy, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.