Nina Russell

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4135 Issued in MA

Practice address

100 Cummings Ctr Ste 135C
Beverly, MA 01915-6263

Phone

(978) 473-7300

Fax

(978) 969-0083

NPI assigned

Sep 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aspire Learning Center LLC

  • Behavior Analyst
  • Beverly, MA
  • NPI 1912358813
  NPD
• Aspire Learning Center LLC

  • Speech-Language Pathologist
  • Beverly, MA
  • NPI 1134034937
  NPD (past)

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1619698008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 135C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156263",
            "telephone_number": "978-473-7169",
            "fax_number": "978-969-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 135C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156263",
            "telephone_number": "978-473-7300",
            "fax_number": "978-969-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "NINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "4135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.aspirelearningcenter.org",
            "affiliation": "N",
            "endpointDescription": "wesbite",
            "address_1": "100 Cummings Ctr Ste 135C",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019156263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roy L Ruff, MD
• Natalie Reynolds Rulli
• Sarah Rumeau, LMHC
• Catherine Rose Runge
• Lauren Rushton
• Phoebe Ann Russell
• Sheryl L Russell, DC
• Jameson D Rust
• Julie Ryan-Berman, L.I.C.S.W.
• Alexandra Ryan

• Behavior Analyst in Beverly, MA
• Providers in Beverly, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.