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

Dr. Patrick Joseph Russolillo, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1366593477

Dr. Patrick Joseph Russolillo, PHD is a Clinical Psychologist in Middletown, Connecticut. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
40
Licensed in
CT
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.

See every abbreviation used in this directory →

Practice location Address checks out

154 College St
Middletown, CT 06457-3201
Phone: (860) 344-9694
Fax: (860) 346-2947
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 0001383 (CT)

Record details

NPI number1366593477
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJuly 8, 2007
Mailing address238 Timber Ridge Rd, Middletown, CT 06457-1538

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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