Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831211895 Individual Practitioner Female Practitioner

Dr. Antonietta Anna Russo , PhD

Psychologist • Murray, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Antonietta Russo, PhD is a certified Psychologist practicing in Murray, UT. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Russo delivers high-quality medical care to the local community at 5801 FASHION BLVD.

Dr. Russo is affiliated with Ihc Health Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

5801 Fashion Blvd
Ste 190

Murray, UT 841076159

Telephone 8013144736
Associated Practice Facility / Clinic
🏢 L Craig Larsen Dpm Pc Facility NPI 1134188394

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Murray, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +6.5 yrs vs City Avg
City Avg: 22.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
14 Specialists

Practicing in Murray, UT (447 Statewide)

Telehealth Adoption Rate
21.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russo (29 Years) 29 Yrs
Murray Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
148 14 $288.53 $130.56

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License UT 370566-2501

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.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

5770 S 250, Murray, UT 841076165

Phone: 8013145000

Practice Associates & Co-Workers

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

5 Associated Practitioners
Rachel Bills , MS, CCC-SLP

Speech-Language Pathologist

NPI 1124282991

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

Hope Jensen , PT

Physical Therapist

NPI 1295857241

Physical Therapist

Laura Jones , PT

Physical Therapist

NPI 1538281571

Physical Therapist

Kristen French , OTR

Occupational Therapist

NPI 1639291693

Occupational Therapist Registered

Mark Fox , SPL

Speech-Language Pathologist

NPI 1669593612

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5801 FASHION BLVD, STE 190, MURRAY, UT 841076159 (Tel: 8013144736)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5801 FASHION BLVD, STE 190, MURRAY, UT 841076159 (Tel: 8013144736)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANTONIETTA RUSSO, P.H.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #370566-2501 in UT)

🟢
Initial NPI Registration & Enumeration April 03, 2007

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: 1831211895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

5801 Fashion Blvd, Ste 190

Murray, UT 841076159

Phone: 8013144736

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.