DR. MARCY L. RUSSO PH.D.
NPI 1134374176
Psychologist - Clinical in Hartford, CT

Q: What is Marcy Russo's NPI number?

The NPI number for Marcy Russo is 1134374176. It was assigned to this individual provider in the NPPES registry on November 18, 2008. The provider is also known as Marcy Kane Ph.D..

Q: What is Marcy Russo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marcy Russo was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 18, 2008PECOS Enrolled

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT, HARTFORD, CT 06106(860) 545-7410 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. Marcy L. Russo Ph.d. NPPES

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

DR. MARCY L. RUSSO PH.D. (NPI 1134374176) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (002452) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134374176

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARCY L. RUSSOCredential: PH.D.

Location Address200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPTHartford, CT 06106-3309

Mailing Address200 Retreat Ave, Hartford Hospital Psychiatry DeptHartford, CT 06106-3309 · (860) 545-7410

Phone(860) 545-7410

Sole ProprietorNo

Enumeration DateNovember 18, 2008

Last NPPES UpdateNovember 30, 2021

NPPES CertifiedOctober 18, 2021

✔ NPI 1134374176 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 CT · 002452

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 ListedPsychologistTaxonomy 103T00000X · License 002459 (CT)

200 RETREAT AVENUE, Hartford, CT 06106

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Other Names 1

Former Name (1)Marcy Kane Ph.d.

Other Identifiers 1

Medicaid008037436CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marcy L. Russo Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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 20

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

DAVID LEE ARCHIBALD III LCSW

Social Worker (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7239

KATHERINE GRACE WINIARSKI LCSW

Social Worker (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL CHILD PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7239

DANIELLE GAYLE KOBY PHD

Psychologist (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7940

LAURA S DODGE

Social Worker (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT.
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7200

JESSICA LAUREN INGRASSIA LCSW

Social Worker (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL CHILD PSYCHIATRY
HARTFORD, CT 06106

Capitol Planning Region (855) 561-7135

DR. HEATHER MURRAY LATIN PH.D.

Psychologist (Clinical)

200 RETREAT AVENUE
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7685

RACHEL M. DUZANT PSYD

Psychologist (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7665

MARY COELINE COLPOYS MD

Internal Medicine

200 RETREAT AVENUE, HARTFORD HOSPITAL MEDICINE DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7224

CAROLE M MUCHA LCSW, LMFT

Social Worker (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL ADULT PSYCHIATRY
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7493

RICHARD ERNEST LAUTENBACH PH.D.

Psychologist (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT.
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7345

MEGHAN A. LAWRENCE LCSW

Social Worker (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7550

GRETCHEN J DIEFENBACH PHD

Psychologist (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL ANXIETY DISORDERS CENTER
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7685

DAVID BENJAMIN BENDOR PSY.D.

Psychologist (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT.
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7665

TRACY E. MITCHELL ACSW, LCSW

Social Worker (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7203

JESSICA KIBBE HARVELL LCSW

Social Worker (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7410

MISS ANN-ELIZABETH GRABOWSKI LCSW

Social Worker (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7200

KEVIN MICHAEL O'SHEA PSY.D.

Psychologist (Clinical)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7410

ALLISIA N GREEN LPC

Counselor (Professional)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 696-0020

CAROL J RAZA APRN

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)

200 RETREAT AVENUE, HARTFORD HOSPITAL GERIATRIC PSYCHIATRY
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7189

DR. HOWARD G IGER M.D.

Psychiatry & Neurology (Psychiatry)

200 RETREAT AVENUE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106

Capitol Planning Region (860) 545-7033

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 Marcy Russo's NPI number?

The NPI number for Marcy Russo is 1134374176. It was assigned to this individual provider in the NPPES registry on November 18, 2008. The provider is also known as Marcy Kane Ph.D..

Where is Marcy Russo located?

Marcy Russo practices at 200 Retreat Avenue Hartford Hospital Psychiatry Dept, Hartford, CT 06106. The listed phone number is (860) 545-7410.

What is Marcy Russo's specialty?

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

Is Marcy Russo enrolled in Medicare?

Yes. Marcy Russo is registered in the Medicare PECOS enrollment system.

What insurance does Marcy Russo accept?

Health plans from Providence Health Plan list Marcy Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marcy Russo was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.