ADAM J RUSSO MS NPI 1104281369

NPI Information

NPI: 1104281369
Provider Name: ADAM J RUSSO, MS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
251 ESSEX PLZ
ESSEX, CT
ZIP 06426
Phone: (860) 638-9169
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Adam J Russo, MS is a mental health counselor in Essex, CT. Adam J Russo, MS NPI is 1104281369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

251 ESSEX PLZ
ESSEX, CT
ZIP 06426-400
Phone: (860) 638-9169
Fax: (860) 469-2938

The NPI 1104281369 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/15/2015 and was last updated on 7/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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