Russell Anthony Martin Psychotherapy LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RUSSELL ANTHONY MARTIN PSYCHOTHERAPY LCSW PC

Practice address

11 Broadway Ste 1158
New York, NY 10004-1597

Phone

(646) 251-7869

NPI assigned

Jan 30, 2022

Organization subpart

No

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

Authorized official

Name

Russell Anthony Martin, LCSW-R

Title

Psychotherapist

Phone

(646) 251-7869

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1841943909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MOUNTAIN TRL",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202209",
            "telephone_number": "646-251-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BROADWAY STE 1158",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041597",
            "telephone_number": "646-251-7869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Mountain Trl",
            "address_purpose": "LOCATION",
            "city": "Croton ON Hudson",
            "state": "NY",
            "postal_code": "105202209",
            "country_code": "US",
            "telephone_number": "646-251-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUSSELL ANTHONY MARTIN PSYCHOTHERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "646-251-7869",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588055313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Ruspantini
• Russak Dermatology PC
• Barbara Ann Russek, PSYD
• Franklin David Russek, M.D.
• Russel C Huang MD PC
• Russell E. Windsor, M.D., P.C.
• Russell F Trahan D D P M P C
• Russell F. Warren M.D.P.C
• Russell H. Silver, M.D., P.C.
• Russell L. Berdoff, M.D., P.C.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.