Natalie Russo, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

403 Huntington HL
Syracuse University Dept. of Psychology
Syracuse, NY 13244-0001

Phone

(315) 443-2024

NPI assigned

Dec 27, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1982940672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HUNTINGTON HL",
            "address_2": "SYRACUSE UNIVERSITY DEPT. OF PSYCHOLOGY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132440001",
            "telephone_number": "315-443-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HUNTINGTON HL",
            "address_2": "SYRACUSE UNIVERSITY DEPT. OF PSYCHOLOGY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132440001",
            "telephone_number": "315-443-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan N Russell, PHARMD
• Amanda Deanna Russo, DO
• Dominique Russo
• Hannah L Russo
• Mary Russo
• Regina Russo
• Theresa Lynn Russo, N.P.
• Thomas Matthew Russo, MD
• Tarush Rustagi, M.D
• Mary Rusyniak

• Clinical Child & Adolescent Psychologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.