Individual provider Active NPI

Jennifer Marie Del Russo, PSY.D.

  • Clinical Psychologist
  • Haddon TWP, NJ
National Provider Identifier
1720386279
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00535200 Issued in NJ
Practice address
342 Haddon Ave
Suite 201
Haddon TWP, NJ 08108-2861
Phone
(856) 298-1256
Fax
(856) 375-1322
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00535200 NJ Primary

Addresses

Primary practice location

342 Haddon Ave
Suite 201
Haddon TWP, NJ 08108-2861

Mailing address

342 Haddon Ave
Suite 201
Haddon TWP, NJ 08108-2861
Phone (856) 298-1256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35SI00535200NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
JMD Psychological Services, LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

342 Haddon Ave
Ste 201
Haddon Township, NJ 08108
Phone (856) 298-1256

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1720386279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HADDON AVE",
            "address_2": "SUITE 201",
            "city": "HADDON TWP",
            "state": "NJ",
            "postal_code": "081082861",
            "telephone_number": "856-298-1256",
            "fax_number": "856-375-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HADDON AVE",
            "address_2": "SUITE 201",
            "city": "HADDON TWP",
            "state": "NJ",
            "postal_code": "081082861",
            "telephone_number": "856-298-1256",
            "fax_number": "856-375-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL RUSSO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00535200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.