RUSSELL MASTERSON PHD NPI 1851339220

NPI Information

  • NPI: 1851339220
  • Provider Name: RUSSELL MASTERSON, PHD
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 878 109TH AVE N
    NAPLES, FL
    ZIP 34108
  • Phone: (239) 596-8416

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NPI Details

Russell Masterson, PHD is a health service psychologist in Naples, FL. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Russell Masterson, PHD NPI is 1851339220. 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:

878 109TH AVE N
NAPLES, FL
ZIP 34108-821
Phone: (239) 596-8416
Fax: (239) 513-1915

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/15/2008.

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
1103TH0100XPsychologistHealth ServiceFL2435FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00146358OTHERFLORIDARAILROAD MEDICARE
275199OTHERFLORIDABLUE CROSS BLUE SHIELD
3P00146358MEDICARE PINFLORIDA
475199MEDICARE PINFLORIDA

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: 11/21/2025

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