MRS. LAURA ANN RUSSO-INNAMORATO PSYD
NPI 1003900044
Psychologist - Clinical in Newtown Square, PA

Q: What is Laura Russo-innamorato's NPI number?

The NPI number for Laura Russo-innamorato is 1003900044. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Laura Russo-innamorato's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment

19 CAMPUS BLVD, STE 102 DELAWARE COUNTY PROFESSIONAL SERVICES, NEWTOWN SQUARE, PA 19073(610) 356-2100(610) 356-6645 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mrs. Laura Ann Russo-innamorato Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LAURA ANN RUSSO-INNAMORATO PSYD (NPI 1003900044) is an individual clinical provider in Newtown Square, Pennsylvania, licensed in Pennsylvania (PS017407) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003900044

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMRS. LAURA ANN RUSSO-INNAMORATOCredential: PSYD

Location Address19 CAMPUS BLVD, STE 102 DELAWARE COUNTY PROFESSIONAL SERVICESNewtown Square, PA 19073

Mailing Address1204 Holly LaneGlen Mills, PA 19342 · (610) 356-2100 · Fax (610) 356-6645

Phone(610) 356-2100

Fax(610) 356-6645

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 3, 2006

Last NPPES UpdateOctober 19, 2021

NPPES CertifiedOctober 19, 2021

✔ NPI 1003900044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS017407

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License CW013505 (PA)

19 CAMPUS BLVD, Newtown Square, PA 19073

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Laura Ann Russo-innamorato Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668655796

PECOS Enrollment IDI20180226000747

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Laura Russo-innamorato reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Behavioral Care Of Connecticut, P.C.

5.9 mi

Clinical

1489 BALTIMORE PIKE STE 250
Springfield, PA 19064

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Optum Behavioral Care Of Connecticut PC
89 clinicians in this Medicare group

NPI 1013700228 (877) 622-0013

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELLIOT J DAVIS EDD

Psychologist

19 CAMPUS BLVD, SUITE 102 DELAWARE COUNTY PROFESSIONAL SERVICES
NEWTOWN SQUARE, PA 19073

Delaware County (610) 356-2100

MS. PATRICIA ADRIENNE MOREL MS

Counselor (Professional)

19 CAMPUS BLVD, DELAWARE COUNTY PROFESSIONAL SERVICES SUITE 102
NEWTOWN SQUARE, PA 19073

Delaware County (610) 356-2100

MRS. LYNNE S DICAPRIO MA

Psychologist

19 CAMPUS BLVD, SUITE 102 DELAWARE COUNTY PROFESSIONAL SERVICES
NEWTOWN SQUARE, PA 19073

Delaware County (610) 356-2100

DEAN WESLEY HILLIARD LMFT

Marriage & Family Therapist

19 CAMPUS BLVD, SUITE 102 DELAWARE COUNTY PROFESSIONAL SERVICES
NEWTOWN SQUARE, PA 19073

Delaware County (610) 356-2100

VICTORIA M JENKINS MSW LCSW

Social Worker (Clinical)

19 CAMPUS BLVD, SUITE 102 DELAWARE COUNTY PROFESSIONAL SERVICES
NEWTOWN SQUARE, PA 19073

Delaware County (610) 356-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Russo-innamorato's NPI number?

The NPI number for Laura Russo-innamorato is 1003900044. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Laura Russo-innamorato located?

Laura Russo-innamorato practices at 19 Campus Blvd Ste 102 Delaware County Professional Services, Newtown Square, PA 19073. The listed phone number is (610) 356-2100.

What is Laura Russo-innamorato's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Laura Russo-innamorato enrolled in Medicare?

Yes. Laura Russo-innamorato is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Laura Russo-innamorato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Russo-innamorato reassigns Medicare benefits to Optum Behavioral Care Of Connecticut, P.C. (Springfield, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laura Russo-innamorato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laura Russo-innamorato was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.