TARA RUSSOW PHD
NPI 1326113143
Psychologist - Clinical in Rochester, NY

Q: What is Tara Russow's NPI number?

The NPI number for Tara Russow is 1326113143. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Tara Russow'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 Tara Russow was last updated on October 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 21, 2006PECOS EnrolledAccepts Medicare Assignment

120 ALLENS CREEK RD, ROCHESTER, NY 14618(585) 442-4447(585) 442-7650 Get Directions Write a Review

NPPES record last updated: October 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Tara Russow Phd NPPES

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

TARA RUSSOW PHD (NPI 1326113143) is an individual clinical provider in Rochester, New York, licensed in New York (012305) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1326113143

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTARA RUSSOWCredential: PHD

Location Address120 ALLENS CREEK RDRochester, NY 14618-3306

Mailing Address120 Allens Creek RdRochester, NY 14618-3306 · (585) 442-4447 · Fax (585) 442-7650

Phone(585) 442-4447

Fax(585) 442-7650

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateNovember 21, 2006

Last NPPES UpdateOctober 31, 2010

✔ NPI 1326113143 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 NY · 012305

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.

120 ALLENS CREEK RD, Rochester, NY 14618

Open in Google Maps ↗

Other Identifiers 6

Medicare UPINS41559NY

Other7004363Aetna

Medicaid01773702NY

Medicare PIN14385BNY

Other2129026Cigna

OtherP010012305Excellus Bcbs

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 and accepts Medicare assignment

Tara Russow Phd 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 ID7719075944

PECOS Enrollment IDI20071121000262

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 14618 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

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 14

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

DR. KERRY GORDON PH.D.

Psychologist (Clinical)