Russell J Ford-Brown

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

66 Pavilion Ave
Providence, RI 02905-1522

Phone

(401) 461-9110

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By 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 names 1

• Russell J Ford-Brown Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: russell.ford-brown@ctcprograms.com

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1891458782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PAVILION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051522",
            "telephone_number": "401-461-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PAVILION AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051522",
            "telephone_number": "401-461-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD-BROWN",
        "first_name": "RUSSELL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Russell.ford-brown@ctcprograms.com",
            "affiliation": "N",
            "address_1": "66 Pavilion Ave",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029051522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RUSSELL",
            "last_name": "FORD-BROWN",
            "middle_name": "J",
            "credential": "RUSSELL FORD-BROWN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kayla Fontes, RN
• Foot Central USA
• Olivia Footer, APRN
• Elaine A Forbes, RNP
• Michelle Forcier, MD MPH
• Alesia R Ford, OTD
• Allison Rosener Ford, NP
• Lamara Ford, PMHNP
• Nicholas Ford, DPT
• Sara Regan Ford, MD

• Addiction (Substance Use Disorder) Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.