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DR. JESSICA DEAN RUSSO PSY.D.
NPI 1659401990
Psychologist - Clinical in Phila, PA

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
230 S. BROAD ST., STE 600, PHILA, PA 19102(215) 545-2748(215) 545-2749 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jessica Dean Russo Psy.d. NPPES

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

DR. JESSICA DEAN RUSSO PSY.D. (NPI 1659401990) is an individual clinical provider in Phila, Pennsylvania, licensed in Pennsylvania (PS015317) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1659401990
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA DEAN RUSSOCredential: PSY.D.
Location Address230 S. BROAD ST., STE 600Phila, PA 19102-4121
Mailing Address230 S. Broad St., Ste 600Phila, PA 19102-4121 · (215) 545-2748 · Fax (215) 545-2749
Phone(215) 545-2748
Fax(215) 545-2749
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 6, 2007
Last NPPES UpdateFebruary 24, 2010
✔ NPI 1659401990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS015317
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.
230 S. BROAD ST., Phila, PA 19102
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Other Identifiers 3

Other1522333PA · Bc/bs
Medicare PIN155117PA
Other1522333Blue Cross Blue Shield

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. Jessica Dean Russo Psy.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 ID4587715305
PECOS Enrollment IDI20090707000551
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIVERSIFIED PSYCHOLOGICAL RESOURCES, P.C.
Clinical Neuropsychologist
230 S. BROAD ST., SUITE 1005
PHILADELPHIA, PA 19102
Philadelphia County (215) 988-9911

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 Jessica Russo's NPI number?

The NPI number for Jessica Russo is 1659401990. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Jessica Russo located?

Jessica Russo practices at 230 S. Broad St. Ste 600, Phila, PA 19102. The listed phone number is (215) 545-2748.

What is Jessica Russo's specialty?

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

Is Jessica Russo enrolled in Medicare?

Yes. Jessica 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 Jessica Russo was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.