NPIMap

Organization Active NPI

Marjorie Russell NP in Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Latham, NY
National Provider Identifier
1770032302
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401959-1 Issued in NY
Legal business name
MARJORIE RUSSELL NP IN PSYCHIATRY, PLLC
Practice address
36 British American Blvd
Ste 102
Latham, NY 12110-1410
Phone
(518) 389-6606
Fax
(518) 389-6605
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Marjorie Russell, NP
Title
Provider
Phone
(518) 389-6606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X F401959-1 NY Primary

Addresses

Primary practice location

36 British American Blvd
Ste 102
Latham, NY 12110-1410

Mailing address

36 British American Blvd
Ste 102
Latham, NY 12110-1410
Phone (518) 389-6606

National Provider Directory

National Provider Directory

Locations

36 British American Blvd
Ste 102
Latham, NY 12110
Phone (518) 389-6606

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1770032302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BRITISH AMERICAN BLVD",
            "address_2": "STE 102",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101410",
            "telephone_number": "518-389-6606",
            "fax_number": "518-389-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BRITISH AMERICAN BLVD",
            "address_2": "STE 102",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101410",
            "telephone_number": "518-389-6606",
            "fax_number": "518-389-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE RUSSELL NP IN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "518-389-6606",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401959-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.