Dr. Jillian Russo, PSYD
Psychologist, Clinical in Belmont, Massachusetts
1184064636- Practice location
- 115 Mill St, Belmont, MA 02478-1048
- Phone
- 617-855-3900
- Fax
- —
- Last updated
- June 30, 2021
Jillian Russo is a Psychologist, Clinical based in Belmont, MA. Jillian Russo practices in Belmont, MA and has the professional credentials of PSYD. The NPI Number for Jillian Russo is 1184064636 and holds a License No. 10434 (MA). The current practice location address for Jillian Russo is 115 Mill St, Belmont, MA 02478-1048 and can be reached out via phone at 617-855-3900.
Provider Profile Details
- NPI Number
- 1184064636
- Provider Name
- Jillian Russo
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 115 Mill St, Belmont, MA 02478-1048
- Phone Number
- 617-855-3900
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Other Names
- Jillian Russo-Goodwin (Other Name)
- Provider Enumeration Date
- June 28, 2013
- Last Update Date
- June 30, 2021
- Certification Date
- June 30, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 Mill St
Belmont, MA 02478-1048 - City
- Belmont
- State
- Massachusetts
- Zip
- 02478-1048
- Phone Number
- 617-855-3900
Provider Business Mailing Address Details
- Address
- 115 Mill St
Belmont, MA 02478-1048 - City
- Belmont
- State
- MA
- Zip
- 02478-1048
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 10434
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jillian Russo, PSYD?
The NPI number of Dr. Jillian Russo, PSYD is 1184064636. It was assigned on June 28, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Jillian Russo, PSYD?
Dr. Jillian Russo, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 10434.
Where does Dr. Jillian Russo, PSYD practice?
The practice location is 115 Mill St, Belmont, MA 02478-1048. The office can be reached at 617-855-3900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184064636 directly on the NPPES registry website.