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DAYNA RUSSO
NPI 1508634296
Counselor - Mental Health in Centereach, NY

Active since December 13, 2023PECOS Enrolled
4 LAURA DR, CENTEREACH, NY 11720(631) 772-0719 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, Dec 13, 2023 (2 updates tracked since 2023).

About Dayna Russo NPPES

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

DAYNA RUSSO (NPI 1508634296) is an individual mental health provider in Centereach, New York, licensed in New York (012036) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508634296
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDAYNA RUSSO
Location Address4 LAURA DRCentereach, NY 11720-3067
Mailing Address4 Laura DrCentereach, NY 11720-3067
Phone(631) 772-0719
Sole ProprietorYes
Enumeration DateDecember 13, 2023
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1508634296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 012036
4 LAURA DR, Centereach, NY 11720
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Other Names 1

Other Name (5)Dayna Russo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dayna Russo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Dayna Russo's NPI number?

The NPI number for Dayna Russo is 1508634296. It was assigned to this individual provider in the NPPES registry on December 13, 2023.

Where is Dayna Russo located?

Dayna Russo practices at 4 Laura Dr, Centereach, NY 11720. The listed phone number is (631) 772-0719.

What is Dayna Russo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dayna Russo enrolled in Medicare?

Yes. Dayna Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dayna Russo was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.