Russell M. Holstein, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SI00094100 Issued in NJ

Practice address

170 Morris Ave
Long Branch, NJ 07740-8214

Phone

(732) 571-1200

Fax

(732) 571-1100

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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 NJ

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, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Russell M. Holstein, PH.D., LLC

  • Psychologist
  • Long Branch, NJ
  • NPI 1952453201
  NPD (past) Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689719874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MORRIS AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408214",
            "telephone_number": "732-571-1200",
            "fax_number": "732-571-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORRIS AVE",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408214",
            "telephone_number": "732-571-1200",
            "fax_number": "732-571-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTEIN",
        "first_name": "RUSSELL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI00094100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Hilliard, APN
• Spoorthi Hiremagalore, DO
• Michelle Elaine Hirsch, RN
• Kyrie Anne Holbert, CRNA
• Barbara Holstein, ED.D.
• Homestead Pharmacy
• Elizabeth Hooker
• Horizon Blue ABA NJ LLC
• Michelle Horowitz-Firestone
• Hospital Medicine of Monmouth County

• Clinical Psychologist in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.