Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902041825 Individual Practitioner Male Practitioner

Dr. Stephen A. Russo , PhD

Psychologist • Drexel Hill, PA

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Russo, PhD is a registered healthcare professional specializing in Psychologist in Drexel Hill, PA. Practice services are available at 3300 TOWNSHIP LINE RD under active NPI credentials.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3300 Township Line Rd

Drexel Hill, PA 190261925

Telephone 4848182225
Fax 8668184032
Associated Practice Facility / Clinic
🏢 Sunshine Therapy Club Facility NPI 1093015356

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Drexel Hill, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Drexel Hill, PA (2901 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
10.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
23 15 $160.60 $143.81

Medical Specialties & State Licenses

CMS Verified: 2020-02-08
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License PA PS015087

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.

Psychologist - Exercise & Sports

NUCC Taxonomy Code: 103TE1100X

State License PA PS015087

A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Sport Psychology interventions are designed to assist athletes and other sports participants (e.g., coaches, administrators, parents) from a wide array of settings, levels of competition, and ages, ranging from recreational youth participants to professional and Olympic athletes to master's level performers.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Christian Nemeh , OD

Student in an Organized Health Care Education/Training Program

NPI 1063397735

Doctor of Optometry

Maureen Sauka , MS, CCC-SLP

Speech-Language Pathologist

NPI 1194013268

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1245276328

Doctor of Optometry

Taraya Shirdan

Physical Therapist

NPI 1386952984
NPI 1508281734

Master of Social Work, Licensed Social Worker

NPI 1811944085

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 08, 2020

Registered at 3300 TOWNSHIP LINE RD, DREXEL HILL, PA 190261925 (Tel: 4848182225)

📍
Updated Business Mailing Address February 08, 2020

Registered at PO BOX 741, MEDIA, PA 190630741 (Tel: 4848182225)

NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2016

Registered at 4050 S 26TH ST, SUITE 140, PHILADELPHIA, PA 191121615 (Tel: 2674632284)

📍
Updated Business Mailing Address August 30, 2016

Registered at 4050 S 26TH ST, SUITE 140, PHILADELPHIA, PA 191121615 (Tel: 2674632284)

👤
Provider Name / Credentials Updated August 30, 2016

Recorded as STEPHEN RUSSO, PH.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Psychologist (License #PS015087 in PA)

🟢
Initial NPI Registration & Enumeration December 05, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902041825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2008
Last Update: February 08, 2020
Sole Proprietor: No

Mailing Address

Po Box 741

Media, PA 190630741

Phone: 4848182225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.