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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. IVETTE JOSEFINA RUSSO PSY.D.
NPI 1245639418
Psychologist - Clinical in Base Americana, AVIANO

Active since August 13, 2014
31ST MEDICAL GROUP, VIA PEDEMONTE, BLDG 121, BASE AMERICANA, AVIANO 33081 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Sep 22, 2024, Jul 23, 2018 (3 updates tracked since 2018).

About Dr. Ivette Josefina Russo Psy.d. NPPES

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

DR. IVETTE JOSEFINA RUSSO PSY.D. (NPI 1245639418) is an individual clinical provider in Base Americana, AVIANO, licensed in Florida (PY8970) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1245639418
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. IVETTE JOSEFINA RUSSOCredential: PSY.D.
Location Address31ST MEDICAL GROUP, VIA PEDEMONTE, BLDG 121Base Americana, AVIANO 33081
Mailing Address31st Medical Group, Opc 103 Box 49Apo, AE 09604-0049
Sole ProprietorYes
Enumeration DateAugust 13, 2014
Last NPPES UpdateNovember 2, 20263 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1245639418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY8970
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.
31ST MEDICAL GROUP, Base Americana, AVIANO 33081
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Other Providers at the Same Location NPPES 6

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

CASEY RAE SHOOP OD
Optometrist
31ST MEDICAL GROUP, VIA PEDEMONTE, BLDG 121
BASE AMERICANA, AVIANO 33081
Broward County No phone listed
DR. SCOTT DWANE MYERS JR. MD
Radiology (Diagnostic Radiology)
31ST MEDICAL GROUP, VIA PEDEMONTE, BLDG 121, BASE AMERICANA
AVIANO, PN 33081
Broward County No phone listed
DR. MELISSA ASHLEY KOSSBIEL DMD
Dentist (Pediatric Dentistry)
31ST MEDICAL GROUP, VIA PEDEMONTE, BLDG 121
BASE AMERICANA, AVIANO 33081
Broward County No phone listed
SAMUEL HARDY THUESON MD
Pediatrics
31ST MEDICAL GROUP, VIA PEDEMONTE, BLDG 121
BASE AMERICANA, AVIANO 33081
Broward County No phone listed
IAN BELL LCSW
Social Worker (Clinical)
31ST MEDICAL GROUP, VIA PEDEMONTE, BLDG 121
BASE AMERICANA, AVIANO 33081
Broward County No phone listed
DR. RONNY BOWMAN O.D.
Optometrist
31ST MEDICAL GROUP, VIA PEDEMONTE, BLDG 121
BASE AMERICANA, AVIANO 33081
Broward County No phone listed

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 Ivette Russo's NPI number?

The NPI number for Ivette Russo is 1245639418. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Where is Ivette Russo located?

Ivette Russo practices at 31st Medical Group Via Pedemonte, Bldg 121, Base Americana, AVIANO 33081.

What is Ivette Russo's specialty?

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

When was this NPI record last updated?

The NPPES record for Ivette Russo was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.