Victoria Russell (NPI# 1730113812, PAC ID# 4486640471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1730113812 |
| PAC ID by PECOS | 4486640471 |
| Professional Enrollment ID | I20050216000645 |
| Full Name | Victoria Russell |
| Organization Legal Name | NORTHEAST KINGDOM HUMAN SERVICES INC |
| Address |
2225 Portland St Saint Johnsbury VT 05819-8635 |
| Phone Number | 8027483181 |
| Gender | F |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 0941276703 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2225 Portland St, Saint Johnsbury, VT 05819-8635 | 8027483181 | NORTHEAST KINGDOM HUMAN SERVICES INC |
| Organization Legal Name | NORTHEAST KINGDOM HUMAN SERVICES INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly R Hensley | Nurse Practitioner | Northeast Kingdom Human Services Inc | 181 Crawford Rd, Derby, VT 05829 |
| Elliot M Kaufman | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Carey J Brodzinski | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Sally Kathryn Mathieson | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Donna M Laurin | Clinical Social Worker | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Gianpaolo Bentivoglio | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Roanna L Bamford | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Craig R Vantuinen | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Richard D Edelstein | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Lorraine B Impey | Clinical Nurse Specialist | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Street Address |
2225 PORTLAND ST |
| City | SAINT JOHNSBURY |
| State | VT |
| Zip | 05819-8635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elliot M Kaufman | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Carey J Brodzinski | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Sally Kathryn Mathieson | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Donna M Laurin | Clinical Social Worker | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Gianpaolo Bentivoglio | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Roanna L Bamford | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Craig R Vantuinen | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Richard D Edelstein | Psychiatry | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Lorraine B Impey | Clinical Nurse Specialist | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Hillary Liddick | Nurse Practitioner | Northeast Kingdom Human Services Inc | 2225 Portland St, Saint Johnsbury, VT 05819-8635 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jin Li Chan | Clinical Social Worker | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Thomas F Broderick | Family Medicine | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Adelaide Adjovu | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Joyce Vitale | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Eric Siegel | Obstetrics/gynecology | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, St Johnsbury, VT 05819-0905 |
| Claudia E Lee | Internal Medicine | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Jessica L Macleod | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Irene B Krechetoff | Internal Medicine | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Doreen J. Brado | Nurse Practitioner | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Kara Pitt | Obstetrics/gynecology | Northeastern Vermont Regional Hospital Inc | 714 Breezy Hill Rd, Nvrh Kingdom Internal Medicine, St Johnsbury, VT 05819-0905 |
| Find all physicians in zip 05819 | |||
| City | SAINT JOHNSBURY |
| Zip Code | 05819 |
| Specialty | PSYCHIATRY |
| City + Specialty | SAINT JOHNSBURY + PSYCHIATRY |
Please comment or provide details below to improve the information on Victoria Russell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.