Dr. Robert G Dello Russo, PHD, LADC I
Psychologist, Addiction (Substance Use Disorder) in Boston, Massachusetts
1609867670- Practice location
- 109 Warren Ave, Boston, MA 02116-6103
- Phone
- 617-484-4146
- Fax
- —
- Last updated
- July 13, 2026
Robert Gerard Dello Russo is a Psychologist, Addiction (Substance Use Disorder) based in Boston, MA. Robert Gerard Dello Russo practices in Boston, MA and has the professional credentials of PHD, LADC I. The NPI Number for Robert Gerard Dello Russo is 1609867670 and holds a License No. 2943 (MA). The current practice location address for Robert Gerard Dello Russo is 109 Warren Ave, Boston, MA 02116-6103 and can be reached out via phone at 617-484-4146.
Provider Profile Details
- NPI Number
- 1609867670
- Provider Name
- Robert Gerard Dello Russo
- Credential
- PHD, LADC I
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 109 Warren Ave, Boston, MA 02116-6103
- Phone Number
- 617-484-4146
- Primary Taxonomy
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 31, 2005
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109 Warren Ave
Boston, MA 02116-6103 - City
- Boston
- State
- Massachusetts
- Zip
- 02116-6103
- Phone Number
- 617-484-4146
Provider Business Mailing Address Details
- Address
- 109 Warren Ave
Boston, MA 02116-6103 - City
- Boston
- State
- MA
- Zip
- 02116-6103
- Phone Number
- 617-484-4146
License Information
- Taxonomy (1)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X · Primary
- License Number (2)
- 2943
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X
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. Robert G Dello Russo, PHD, LADC I?
The NPI number of Dr. Robert G Dello Russo, PHD, LADC I is 1609867670. It was assigned on October 31, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Robert G Dello Russo, PHD, LADC I?
Dr. Robert G Dello Russo, PHD, LADC I is registered under the primary taxonomy Psychologist, Addiction (Substance Use Disorder) (code 103TA0400X), licensed in MA under license number 2943.
Where does Dr. Robert G Dello Russo, PHD, LADC I practice?
The practice location is 109 Warren Ave, Boston, MA 02116-6103. The office can be reached at 617-484-4146 (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 1609867670 directly on the NPPES registry website.