STEPHEN A. RUSSO PH.D
NPI 1902041825
Psychologist in Drexel Hill, PA

Active since December 05, 2008PECOS Enrolled
3300 TOWNSHIP LINE RD, DREXEL HILL, PA 19026(484) 818-2225(866) 818-4032 Get Directions Write a Review

NPPES record last updated: February 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2020, Aug 30, 2016 (2 updates tracked since 2016).

About Stephen A. Russo Ph.d NPPES

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

STEPHEN A. RUSSO PH.D (NPI 1902041825) is an individual psychologist in Drexel Hill, Pennsylvania, licensed in Pennsylvania (PS015087) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902041825
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameSTEPHEN A. RUSSOCredential: PH.D
Location Address3300 TOWNSHIP LINE RDDrexel Hill, PA 19026-1925
Mailing AddressPo Box 741Media, PA 19063-0741 · (484) 818-2225 · Fax (866) 818-4032
Fax(866) 818-4032
Sole ProprietorNo
Enumeration DateDecember 5, 2008
Last NPPES UpdateFebruary 8, 20202 updates tracked since enumeration
NPI 1902041825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS015087
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.
Also ListedPsychologist · Exercise & SportsTaxonomy 103TE1100X · License PS015087 (PA)
3300 TOWNSHIP LINE RD, Drexel Hill, PA 19026

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephen A. Russo Ph.d 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 13

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

Student in an Organized Health Care Education/Training Program
3300 TOWNSHIP LINE RD
DREXEL HILL, PA 19026
Early Intervention Provider Agency
3300 TOWNSHIP LINE RD, SUITE 102
DREXEL HILL, PA 19026
Speech-Language Pathologist
3300 TOWNSHIP LINE RD, SUITE 102
DREXEL HILL, PA 19026
Optometrist
3300 TOWNSHIP LINE RD, SUITE 101
DREXEL HILL, PA 19026
Optometrist
3300 TOWNSHIP LINE RD, SUITE 101
DREXEL HILL, PA 19026
Physical Therapist
3300 TOWNSHIP LINE RD, SUITE 102
DREXEL HILL, PA 19026
Social Worker
3300 TOWNSHIP LINE RD
DREXEL HILL, PA 19026
Early Intervention Provider Agency
3300 TOWNSHIP LINE RD, SUITE 102
DREXEL HILL, PA 19026

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 Stephen Russo's NPI number?

The NPI number for Stephen Russo is 1902041825. It was assigned to this individual provider in the NPPES registry on December 5, 2008.

Where is Stephen Russo located?

Stephen Russo practices at 3300 Township Line Rd, Drexel Hill, PA 19026. The listed phone number is (484) 818-2225.

What is Stephen Russo's specialty?

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

Is Stephen Russo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephen Russo was last updated on February 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.