Mary Russo, PH.D.
NPI 1134304967 · Clinical Child & Adolescent Psychologist · Erie, PA
Mary Russo, PH.D. is a Clinical Child & Adolescent Psychologist provider in Erie, PA (NPI 1134304967).
Provider details
- NPI number
- 1134304967
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS007343L (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-28
- Last updated
- 2007-12-28
Frequently asked questions
- What is Mary Russo's NPI number?
- Mary Russo's National Provider Identifier (NPI) is 1134304967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Russo's specialty?
- Mary Russo is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Russo located?
- Mary Russo's practice location on file with NPPES is 100 State St, Erie, PA 16507-1454.
- What is Mary Russo's phone number?
- The practice phone number listed in the NPPES registry for Mary Russo is (814) 480-8797.
- Is Mary Russo's NPI active?
- Yes — Mary Russo's NPI (1134304967) is active in the NPPES registry as of the last update on 2007-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.