Antonietta Anna Russo, P.H.D.
NPI 1831211895ActiveIndividual· Psychologist· Murray, UT
Psychologist (P.H.D.) with Ihc Health Services Inc, practicing in Murray, Utah. Medicare paid $20,126 for services to 20 patients in 2024.
Overview
| NPI | 1831211895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.H.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 3, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 370566-2501 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 255 across 9 procedure codes |
| Paid by Medicare | $20,126 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
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