TARA RUSSOW (NPI# 1326113143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326113143 |
| Entity Type | Individual |
| Full Name | TARA RUSSOW |
| Credential | PHD |
| Practice Address |
120 Allens Creek Rd Rochester NY 14618-3306 |
| Practice Telephone | 5854424447 |
| Practice Fax Number | 5854427650 |
| Mailing Telephone | 5854424447 |
| Mailing Fax Number | 5854427650 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
012305 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01773702 | 05 | |
| CIGNA | 2129026 | 01 | |
| AETNA | 7004363 | 01 | |
| EXCELLUS BCBS | P010012305 | 01 |
| Street Address |
120 ALLENS CREEK RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14618-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831168897 | John Stewart Durland IIi | Counselor | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2006-03-14 |
| 1952870461 | Kelsey Welliver | Counselor | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2018-11-14 |
| 1629568381 | Quiet Mind Therapy Services, Lcsw, Pllc | Social Worker | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2018-05-17 |
| 1700327707 | Christopher Bruzee | Counselor | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2017-03-10 |
| 1821204678 | Kelly R. Grazier | Chiropractor | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2007-05-15 |
| 1295857472 | Karen Anne Salzman-lewis | Social Worker | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2007-04-06 |
| 1306981212 | Joel Robert Morse | Psychologist | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2007-02-20 |
| 1831288687 | Bruce Michael Gilberg | Psychologist | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2006-10-12 |
| 1477659316 | Frank S. Abreau | Psychologist | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2006-09-16 |
| 1336155431 | Deanna P Sams | Psychologist | 120 Allens Creek Rd, Rochester, NY 14618-3306 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1760047278 | Inner Power Physical Therapy Pllc | Clinic/Center | 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 | 2019-05-09 |
| 1659859858 | Steven Sanfilippo | Counselor | 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 | 2018-07-31 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1558805374 | Jennifer Virella | Social Worker | 2000 South Winton Road, Bldg 2, Rochester, NY 14618 | 2016-12-13 |
| 1235589300 | Andrew Cyrus Marcy | Nurse Practitioner | 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 | 2016-06-20 |
| 1932561073 | Legacy Pediatrics | Pediatrics | 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 | 2016-03-28 |
| 1790143105 | Marie Lynn Bieber | Dietitian, Registered | 919 Winton Rd S Ste 220, Rochester, NY 14618 | 2016-02-01 |
| 1720443096 | Brittany Rose Masetta | Marriage & Family Therapist | 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 | 2015-12-30 |
| 1437543097 | Kathleen Skye Kemp | Internal Medicine | 2400 S Clinton Ave Ste G2, Rochester, NY 14618 | 2015-03-22 |
| Find all providers in zip 14618 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
| 1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
| 1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
| 1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
| 1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
| 1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
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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.