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DR. PATRICK JOSEPH RUSSOLILLO PH.D
NPI 1366593477
Psychologist - Clinical Child & Adolescent in Middletown, CT

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
154 COLLEGE ST, MIDDLETOWN, CT 06457(860) 344-9694(860) 346-2947 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patrick Joseph Russolillo Ph.d NPPES

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

DR. PATRICK JOSEPH RUSSOLILLO PH.D (NPI 1366593477) is an individual clinical child & adolescent provider in Middletown, Connecticut, licensed in Connecticut (0001383) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1366593477
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. PATRICK JOSEPH RUSSOLILLOCredential: PH.D
Location Address154 COLLEGE STMiddletown, CT 06457-3201
Mailing Address238 Timber Ridge RdMiddletown, CT 06457-1538 · (860) 344-9694 · Fax (860) 346-2947
Phone(860) 344-9694
Fax(860) 346-2947
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366593477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CT · 0001383
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
154 COLLEGE ST, Middletown, CT 06457
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Other Identifiers 1

Medicare ID-Type Unspecified4080389CT

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

Dr. Patrick Joseph Russolillo Ph.d 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 ID8729009428
PECOS Enrollment IDI20051209000073
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.

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.

COLLEGE STREET COUNSELING CENTER LLC
Social Worker (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-8894
EDWARD GEORGE LANGFORD II LPC
Counselor (Professional)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 719-1969
SALLY F BAUMER L.C.S.W.
Social Worker (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-1415
KATHLEEN WATANABE LCSW LADC
Counselor (Addiction (Substance Use Disorder))
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-8894
DR. ROSEMARY BLEYER PH.D.
Psychologist (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-1415
DAVID SPALDING LCSW
Social Worker (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-9150

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 Patrick Russolillo's NPI number?

The NPI number for Patrick Russolillo is 1366593477. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Patrick Russolillo located?

Patrick Russolillo practices at 154 College St, Middletown, CT 06457. The listed phone number is (860) 344-9694.

What is Patrick Russolillo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Patrick Russolillo enrolled in Medicare?

Yes. Patrick Russolillo 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.

What insurance does Patrick Russolillo accept?

Health plans from Providence Health Plan list Patrick Russolillo 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 Patrick Russolillo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.