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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ROBERT GERARD DELLO RUSSO PH.D., LADC I
NPI 1609867670
Psychologist - Addiction (Substance Use Disorder) in Boston, MA

Active since October 31, 2005PECOS Enrolled
109 WARREN AVE, BOSTON, MA 02116(617) 484-4146 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Robert Gerard Dello Russo Ph.d., Ladc I NPPES

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

DR. ROBERT GERARD DELLO RUSSO PH.D., LADC I (NPI 1609867670) is an individual addiction (substance use disorder) provider in Boston, Massachusetts and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1609867670
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameDR. ROBERT GERARD DELLO RUSSOCredential: PH.D., LADC I
Location Address109 WARREN AVEBoston, MA 02116-6103
Mailing Address109 Warren AveBoston, MA 02116-6103 · (617) 484-4146
Phone(617) 484-4146
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1609867670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2943 (MA)
109 WARREN AVE, Boston, MA 02116
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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. Robert Gerard Dello Russo Ph.d., Ladc I 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 ID8729093307
PECOS Enrollment IDI20060220000002
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 Robert Dello Russo's NPI number?

The NPI number for Robert Dello Russo is 1609867670. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Robert Dello Russo located?

Robert Dello Russo practices at 109 Warren Ave, Boston, MA 02116. The listed phone number is (617) 484-4146.

What is Robert Dello Russo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Robert Dello Russo enrolled in Medicare?

Yes. Robert Dello Russo 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.

When was this NPI record last updated?

The NPPES record for Robert Dello Russo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.