Russell Wolff, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

018097 Issued in NY

Practice address

15-17 Third Street
C/O Independent Living Center of the Hudson Valley
Troy, NY 12180

Phone

(518) 768-0667

Fax

(518) 279-7559

NPI assigned

Dec 15, 2006

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Russell S. Wolff, PHD

  • Community/Behavioral Health Agency
  • Troy, NY
  • NPI 1588890784
  NPD (past) Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1992867774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-17 THIRD STREET",
            "address_2": "C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-768-0667",
            "fax_number": "518-279-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-17 THIRD STREET",
            "address_2": "C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-768-0667",
            "fax_number": "518-279-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "018097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03124210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Rose Wilmot, FNP
• Caitlin Grace Wilson, LCSW
• Sarah Marie Winkler, FNP
• Samantha Woitkoski, DPT
• Michael Wolff
• Barbara W Wolner, M.D.
• Jill Wolski, LCSW
• Woodland Village LLC
• Morgan M Woodlief
• Kelsey Elizabeth Woods

• Counseling Psychologist in Troy, NY
• Providers in Troy, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.