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DR. IVETTE JOSEFINA RUSSO PSY.D.
NPI 1245639418
Psychologist - Clinical in Apo, AP

Active since August 13, 2014
18TH MEDICAL GROUP, UNIT 5142, APO, AP 96368(315) 632-0475 Get Directions Write a Review

NPPES record last updated: September 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2024, Jul 23, 2018 (2 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 Apo, AP, licensed in Florida (PY8970) and active in the NPI registry since August 2014. She maintains a secondary practice location in Hill Afb.

NPPES Registry Identity

NPI1245639418
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. IVETTE JOSEFINA RUSSOCredential: PSY.D.
Location Address18TH MEDICAL GROUP, UNIT 5142Apo, AP 96368
Mailing AddressUnit 5142 Box 18thApo, AP 96368-5142
Phone(315) 632-0475
Sole ProprietorYes
Enumeration DateAugust 13, 2014
Last NPPES UpdateSeptember 22, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2024
✔ 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.
18TH MEDICAL GROUP, UNIT 5142, Apo, AP 96368
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Secondary Practice Location 1

Location 17321 Balmer St # 545Hill AFB, UT 84056-5012 · Phone (801) 777-7909

Other Providers at the Same Location NPPES 9

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

KATHRYN LORI GREY MPH, RD
Dietitian, Registered
18TH MEDICAL GROUP, UNIT 5142
FPO, AP 96368
(804) 370-3967
YALONDA PONE
Social Worker (Clinical)
18TH MEDICAL GROUP, UNIT 5142
APO, AP 96368
(817) 875-6878
JENNY WYLIE ARNP
Nurse Practitioner
18TH MEDICAL GROUP, UNIT 5142
APO, AP 96368
(850) 416-4970
SHANNON NAPUA HICKMAN ROMAN
Social Worker (Clinical)
18TH MEDICAL GROUP, UNIT 5142
APO, AP 96368
(315) 630-4780
DR. JORDAN PEKEVSKI PH.D.
Psychologist
18TH MEDICAL GROUP, UNIT 5142
APO, AP 96368
(098) 960-4817
KRISTIN ELISABETH FLEMING D.O.
Pediatrics (Developmental - Behavioral Pediatrics)
18TH MEDICAL GROUP, UNIT 5142
APO, AP 96368
(315) 630-3618
IAN BELL LCSW
Social Worker (Clinical)
18TH MEDICAL GROUP, UNIT 5142
APO, AP 96368
(098) 960-4817
MICHELE CHURCH
Physician Assistant
18TH MEDICAL GROUP, UNIT 5142
APO, AP 96368
(315) 630-4060

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 18th Medical Group, Unit 5142, Apo, AP 96368. The listed phone number is (315) 632-0475.

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 September 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.