RUSSELL S. WOLFF, PHD
NPI 1588890784
Community/Behavioral Health in Troy, NY

NPI Status: Active since June 03, 2009

Contact Information

C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY
15-17 THIRD STREET
TROY, NY
ZIP 12180
Phone: (518) 768-0667
Fax: (518) 279-7559

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 33D0984542
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 03-26-2027

About RUSSELL S. WOLFF, PHD

This page provides the complete NPI Profile along with additional information for Russell S. Wolff, Phd, a provider established in Troy, New York operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1588890784 assigned on June 2009. The practitioner's primary taxonomy code is 251S00000X with license number 018097 (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Russell S Wolff Ph.d. (Psychologist)

NPI
1588890784
Provider Name
RUSSELL S. WOLFF, PHD
Entity Type
Organization
Location Address
C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY 15-17 THIRD STREET TROY, NY 12180
Location Phone
(518) 768-0667
Location Fax
(518) 279-7559
Mailing Address
C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY 15-17 THIRD STREET TROY, NY 12180
Mailing Phone
(518) 768-0667
Mailing Fax
(518) 279-7559
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2009
Last Update Date
12-13-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
018097
License State
NY
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RUSSELL S WOLFF PH.D.

Authorized Official Title
PSYCHOLOGIST
Authorized Official Phone
(518) 768-0667

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
03124210MEDICAID (05)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0984542
Facility Type
School/Student Health Service
Certificate Effective Date
March 24, 2012
Certificate Expiration Date
March 26, 2027
Laboratory Director
MS. JANE R. ROODENBURG
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Russell S. Wolff, Phd in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588890784
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681690716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 0 + 7 + 1 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1588890784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588890784, enumerated as an "organization" on June 03, 2009.

The provider is located at C/O INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY 15-17 THIRD STREET TROY, NY 12180 and the phone number is (518) 768-0667.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.