Abby Russin Reese, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016373 Issued in PA

Practice address

1516 Wyoming Ave
Forty Fort, PA 18704-4225

Phone

(570) 287-5200

Fax

(570) 609-1551

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Abby Russin Professional name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abby Russin, PH.D., LLC

  • Psychologist
  • Forty Fort, PA
  • NPI 1699912691
  Medicare reassignment NPD
• Laser and Cosmetic Surgeons PC

  • Plastic and Reconstructive Surgery Physician
  • Forty Fort, PA
  • NPI 1821009739
  NPD
• Elderly Care Counseling Services LLC

  • Group Psychotherapy Psychologist
  • Fort Washington, PA
  • NPI 1821196999
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1972704419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044225",
            "telephone_number": "570-287-5200",
            "fax_number": "570-609-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 WYOMING AVE",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044225",
            "telephone_number": "570-287-5200",
            "fax_number": "570-609-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "ABBY",
        "middle_name": "RUSSIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017157",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "RUSSIN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alan Petroski, PHD
• Kari Ann Pietralczyk, AUD, CCC-A
• Kathryn Werner Pokrifka, PSY.D.
• Radiation Medicine Specialists of Northeast Pennsylvania P C
• Stanley Raijski
• Angela C Resavage, D.M.D.
• Maria Revak, AUD-CCC-A
• Makaela Rinehimer, AU.D.
• Kelly Ritsick
• Robert Engel, MD

• Psychologist in Forty Fort, PA
• Providers in Forty Fort, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.