KIRSTEN DENISE RUSSO PHD
NPI 1790344760
Psychologist in Baltimore, MD

Active since June 12, 2019PECOS Enrolled
707 N BROADWAY, BALTIMORE, MD 21205(443) 923-2900 Get Directions Write a Review

NPPES record last updated: June 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2023, Aug 2, 2022, Apr 9, 2021 and 2 more (5 updates tracked since 2019).

About Kirsten Denise Russo Phd NPPES

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

KIRSTEN DENISE RUSSO PHD (NPI 1790344760) is an individual psychologist in Baltimore, Maryland and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790344760
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKIRSTEN DENISE RUSSOCredential: PHD
Location Address707 N BROADWAYBaltimore, MD 21205-1888
Mailing Address707 N BroadwayBaltimore, MD 21205-1832 · (443) 923-2900
Sole ProprietorNo
Enumeration DateJune 12, 2019
Last NPPES UpdateJune 10, 20235 updates tracked since enumeration
NPPES CertifiedJune 10, 2023
NPI 1790344760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
707 N BROADWAY, Baltimore, MD 21205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kirsten Denise Russo Phd 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.

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
707 N BROADWAY
BALTIMORE, MD 21205
Physical Therapist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Psychologist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Social Worker
707 N BROADWAY
BALTIMORE, MD 21205
Psychologist (Clinical)
707 N BROADWAY
BALTIMORE, MD 21205
Behavior Analyst
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE- BEHAVIORAL PSYCHOLOGY
BALTIMORE, MD 21205
Speech-Language Pathologist
707 N BROADWAY
BALTIMORE, MD 21205
Physical Therapist
707 N BROADWAY
BALTIMORE, MD 21205

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 Kirsten Russo's NPI number?

The NPI number for Kirsten Russo is 1790344760. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Kirsten Russo located?

Kirsten Russo practices at 707 N Broadway, Baltimore, MD 21205. The listed phone number is (443) 923-2900.

What is Kirsten Russo's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kirsten Russo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kirsten Russo was last updated on June 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.