Robert Gerard Dello Russo, PH.D., LADC I

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Practice address

109 Warren Ave
Boston, MA 02116-6103

Phone

(617) 484-4146

NPI assigned

Oct 31, 2005

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

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Charles Mental Health Research and Training Foundation, Inc.Group PAC ID 7416919048, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• North Charles Mental Health Research & Training Foundation, Inc

  • Psychologist
  • Cambridge, MA
  • NPI 1356411862

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Cambridge Psychiatric Services, Inc

  • Addiction Psychiatry Physician
  • Cambridge, MA
  • NPI 1851055784
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609867670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WARREN AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166103",
            "telephone_number": "617-484-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WARREN AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166103",
            "telephone_number": "617-484-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLO RUSSO",
        "first_name": "ROBERT",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "PH.D., LADC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Virginia Dellaria, MSW, LICSW
• Benjamin Dellaripa, MD
• Paul F Dellaripa, MD
• John F Delle Chiaie, LICSW
• Ashley Dellinger, OTR/L
• Isaiah Joseph-Emma Dellorfano, PHARMD
• Nicholas M Dellorusso, DMD
• Francis Leo Delmonico, MD
• Ottavia Maria Delmonte, MD
• Bennett Sherwood Delong

• Addiction (Substance Use Disorder) Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Addiction (Substance Use Disorder) Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.