Michele Jean Rusin, PH.D., ABPP

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

01078 Issued in GA

Practice address

1276 McConnell Drive
Suite C
Decatur, GA 30033-3506

Phone

(404) 929-9009

Fax

(404) 929-9005

NPI assigned

Nov 6, 2006

Last updated

Jan 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michele J. Rusin, PH.D PC

  • Rehabilitation Psychologist
  • Atlanta, GA
  • NPI 1396924692
  Medicare reassignment NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1649349689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133207",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303333207",
            "telephone_number": "404-929-9009",
            "fax_number": "404-929-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 MCCONNELL DRIVE",
            "address_2": "SUITE C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333506",
            "telephone_number": "404-929-9009",
            "fax_number": "404-929-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSIN",
        "first_name": "MICHELE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "GA",
            "license": "01078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cirila N Rumaguera, PT
• Martin Runnstrom, M.D.
• Emma Marie Rush
• Titilola Olufunke Rush, RN
• Yvonne Rush
• Elise Russ
• Aniyah Nicole Russell, RN
• Jada Russell
• Tierah Russell
• Faith R. Russler, L. AC.

• Rehabilitation Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Rehabilitation Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.