Jaclyn Russo, PHD
NPI 1962280024 · Clinical Child & Adolescent Psychologist · Charlotte, NC
Jaclyn Russo, PHD is a Clinical Child & Adolescent Psychologist provider in Charlotte, NC (NPI 1962280024).
Provider details
- NPI number
- 1962280024
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6402 (NC)
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
2 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
- 2023-09-20
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Jaclyn Russo's NPI number?
- Jaclyn Russo's National Provider Identifier (NPI) is 1962280024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Russo's specialty?
- Jaclyn Russo is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist (Behavioral Health & Social Service Providers).
- Where is Jaclyn Russo located?
- Jaclyn Russo's practice location on file with NPPES is 4722 Park Rd Ste B, Charlotte, NC 28209-3802.
- What is Jaclyn Russo's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Russo is (704) 665-7424.
- Is Jaclyn Russo's NPI active?
- Yes — Jaclyn Russo's NPI (1962280024) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.