MARY FRANCES RUSSO (NPI# 1134304967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134304967 |
| Entity Type | Individual |
| Full Name | MARY FRANCES RUSSO |
| Credential | PH.D. |
| Practice Address |
100 State St Suite 202 Erie PA 16507-1454 |
| Practice Telephone | 8144808797 |
| Practice Fax Number | 8144592303 |
| Mailing Telephone | 8144808797 |
| Mailing Fax Number | 8144592303 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS007343L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962703587 | Mary R Russo | Registered Nurse | 603 Willow Ave, Ithaca, NY 14850-3555 | 2010-11-12 |
| 1275851404 | Mary Helen Russo | Audiologist | 750 N Ocean Blvd, # 602, Pompano Beach, FL 33062-4644 | 2010-05-12 |
| 1003049230 | Mary Kathleen Russo | Occupational Therapist | 3775 Country Ln, Brownsburg, IN 46112-8375 | 2009-09-04 |
| 1689880619 | Mary Russo | Marriage & Family Therapist | 137 E Hamilton Ave Ste 207, Campbell, CA 95008-0244 | 2007-05-15 |
| 1023421864 | Mary Russo | Emergency Medicine | 400 W 16th St, Pueblo, CO 81003-2745 | 2014-06-10 |
| 1982970935 | Mary M Russo | Case Manager/Care Coordinator | 420 Magnolia St, Houma, LA 70360-6304 | 2012-03-23 |
| 1225299381 | Mary Elizabeth Russo | Physician Assistant | 540 Union Blvd, West Islip, NY 11795-3105 | 2008-06-21 |
| 1710030234 | Mary Kathleen Russo | Dentist | 804 Highway 71, Sea Girt, NJ 08750-2807 | 2007-01-19 |
| 1205922382 | Mary Russo | Dietitian, Registered | 750 E Adams St, Syracuse, NY 13210-2306 | 2006-10-05 |
| Street Address |
100 STATE ST SUITE 202 |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588627525 | Cathleen Anna Miner | Counselor | 100 State St, Suite 202, Erie, PA 16507-1452 | 2006-04-10 |
| 1427485176 | Anchor Counseling Associates | Counselor | 100 State St, Suite 312, Erie, PA 16507-1452 | 2013-09-26 |
| 1366704561 | Jeanette Ruth Redenius | Social Worker | 100 State St, Suite 202, Erie, PA 16507-1452 | 2012-06-13 |
| 1629382197 | Jenna Ann Bolton | Counselor | 100 State St, Suite 312, Erie, PA 16507-1452 | 2010-07-27 |
| 1730362880 | Lehrian and Palo Oral Surgery, PC | Dentist | 100 State St, Suite B102, Erie, PA 16507-1452 | 2007-12-12 |
| 1912045253 | Debra Lynn Dauer | Dental Assistant | 100 State St, Suite B102, Erie, PA 16507-1452 | 2007-02-01 |
| 1750301354 | Domenico Chiariello | Psychologist | 100 State St, Suite 202, Erie, PA 16507-1453 | 2006-07-20 |
| 1477573079 | The Family Institute, Inc. | Psychologist | 100 State St, Suite 202, Erie, PA 16507-1453 | 2006-07-20 |
| 1023069549 | John F Lehrian | Dentist | 100 State St, Suite B102, Erie, PA 16507-1452 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467513093 | James Philip Schierberl Jr. | Psychologist | 1357 W 6th St, Erie, PA 16505-2503 | 2006-12-13 |
| 1891790358 | Douglas Michael Buyer | Psychologist | 1438 W 38th St, Erie, PA 16508-2324 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615810 | Ganim Psychology and Behavioral Health, Pllc | Psychologist | 80 West Welsh Pool Road, Suite 204 South, Exton, PA 19341-1233 | 2019-12-06 |
| 1164067450 | Whitney Guthrie | Psychologist | 2716 South St Ofc 5241, Philadelphia, PA 19146-2305 | 2019-11-11 |
| 1205470176 | Thomas Anderson Smith | Psychologist | 491 Allendale Rd Ste 320, King of Prussia, PA 19406-1432 | 2019-11-04 |
| 1841849460 | Colleen Mary Harker | Psychologist | 1518 Walnut St Ste 1506, Philadelphia, PA 19102-3408 | 2019-09-06 |
| 1548815814 | Estee Hausman | Psychologist | 337 Moore Bldg, State College, PA 16802-3103 | 2019-08-05 |
| 1326512005 | Lydia Brill | Psychologist | 480 Pierce St Ste 109, Kingston, PA 18704-5512 | 2019-01-16 |
| 1689151318 | Stacey Linn Brookens | Psychologist | 77 N 3rd St Ste 201, Chambersburg, PA 17201-1812 | 2018-07-25 |
| 1144710039 | Pamela Marie Cole | Psychologist | 3rd Floor, Moore Building, Penn State University, University Park, PA 16802 | 2018-05-16 |
| 1326536749 | Rebecca Kanine | Psychologist | 2716 South St Fl 8, Philadelphia, PA 19146-2305 | 2018-05-01 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.