IndividualActive
John Russo, MD
NPI 1437211992 · Child & Adolescent Psychiatry Physician · Albuquerque, NM
Provider details
- NPI number
- 1437211992
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 93-141 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
801 Vassar Dr Ne
Albuquerque, NM 87106-2725
Phone: (505) 248-4012
Street-level locationGet directions
Mailing address
13400 Lomas Blvd Ne
Albuquerque, NM 87112-6291
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2012-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.