Paul Gerard Larussa, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

00014164 Issued in AL

Practice address

233 Winton M Blount Loop
Montgomery, AL 36117-3507

Phone

(334) 239-2622

Fax

(334) 625-7602

NPI assigned

Oct 10, 2006

Last updated

Oct 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/

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.

• University of Alabama at Birmingham

  dba Psychiatric Services Step Down Unit at UAB Hospital

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1811280654
  NPD
• Mental Health Board of Chilton and Shelby Counties Inc

  dba Chilton-Shelby Mental Health Center

  • Community/Behavioral Health Agency
  • Clanton, AL
  • NPI 1487829966
  NPD (past)
• Mental Health Board of Chilton and Shelby Counties Inc

  dba Central Alabama Wellness

  • Community/Behavioral Health Agency
  • Calera, AL
  • NPI 1639247869
  NPD (past)
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1861580672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-239-2622",
            "fax_number": "334-625-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-239-2622",
            "fax_number": "334-625-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUSSA",
        "first_name": "PAUL",
        "middle_name": "GERARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00014164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "510-95129",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Landreau
• Latricia Renee Landrum
• Pamela D Langford
• Rhet R Langley, M.D.
• Linda Carolyn Langston, PA
• Kathryn Highfield Lassiter, PHARMD
• Lisa Gayle Lassiter, RN
• Marshall Lassiter, DPT
• Kimberly Rae Latham
• Rosetta Latimore, CRNP

• Psychiatry Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.