Organization Active NPI

Natalie Russo PHD & Associates PC

  • Clinical Psychologist
  • Bridgeville, PA
National Provider Identifier
1861669871
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NATALIE RUSSO PHD & ASSOCIATES PC
Practice address
316 Station St
Bridgeville, PA 15017-1833
Phone
(412) 537-5893
Fax
(724) 942-2390
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Natalie Marie Russo, PHD
Title
Owner
Phone
(412) 537-5893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

316 Station St
Bridgeville, PA 15017-1833

Mailing address

316 Station St
Bridgeville, PA 15017-1833
Phone (412) 537-5893

Other identifiers 1

IdentifierTypeStateIssuer
001774297OtherBCBS

National Provider Directory

National Provider Directory
Tax ID family
Natalie M Russo PHD and Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1861669871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 STATION ST",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171833",
            "telephone_number": "412-537-5893",
            "fax_number": "724-942-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 STATION ST",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171833",
            "telephone_number": "412-537-5893",
            "fax_number": "724-942-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE RUSSO PHD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-537-5893",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001774297",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.