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MINETTE RUSSELL-IRACE PSY.D
NPI 1417346537
Psychologist - Clinical in Brooklyn, NY

Active since January 13, 2015Opted out of Medicare · through Nov 2, 2027
203 CLIFTON PL, SUITE 10, BROOKLYN, NY 11216(845) 272-2118 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Minette Russell-irace Psy.d NPPES

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

MINETTE RUSSELL-IRACE PSY.D (NPI 1417346537) is an individual clinical provider in Brooklyn, New York, licensed in New York (021071) and active in the NPI registry since January 2015. She has opted out of Medicare through November 2, 2027 and remains eligible to order and refer and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1417346537
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMINETTE RUSSELL-IRACECredential: PSY.D
Location Address203 CLIFTON PL, SUITE 10Brooklyn, NY 11216-5181
Mailing Address203 Clifton Pl, Suite 10Brooklyn, NY 11216-5181 · (845) 272-2118
Phone(845) 272-2118
Sole ProprietorYes
Enumeration DateJanuary 13, 2015
Last NPPES UpdateFebruary 5, 2019
✔ NPI 1417346537 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 NY · 021071
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
203 CLIFTON PL, Brooklyn, NY 11216
Open in Google Maps ↗

Secondary Practice Location 1

Location 1208 Washington Park, 1BBrooklyn, NY 11205-4057 · Phone (347) 229-7037

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Minette Russell-irace Psy.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 2, 2015 through November 2, 2027.

Opt-Out Effective DateNovember 2, 2015
Opt-Out In Effect ThroughNovember 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11216 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Minette Russell-irace's NPI number?

The NPI number for Minette Russell-irace is 1417346537. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Minette Russell-irace located?

Minette Russell-irace practices at 203 Clifton Pl Suite 10, Brooklyn, NY 11216. The listed phone number is (845) 272-2118.

What is Minette Russell-irace's specialty?

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

Is Minette Russell-irace enrolled in Medicare?

No. Minette Russell-irace has opted out of Medicare through November 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Minette Russell-irace was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.