Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonietta Anna Russo, PHD

Individual provider Psychologist · NPI 1831211895

Antonietta Anna Russo, PHD is a Clinical Psychologist in Murray, Utah. Qualified in 1997, 29 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
29
Licensed in
UT
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5801 Fashion Blvd Ste 190
Murray, UT 84107-6159
Phone: (801) 314-4736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 370566-2501 (UT)

Record details

NPI number1831211895
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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