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

Dr. Robert Gerard Dello Russo, PHD, LADCI

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1609867670

Dr. Robert Gerard Dello Russo, PHD, LADCI is a Clinical Psychologist in Boston, Massachusetts. Qualified in 1981, 45 years ago. Practices with North Charles Mental Health Research and Training Foundation, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
45
Licensed in
MA
In the registry since
2005
Specialties on file
2
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

109 Warren Ave
Boston, MA 02116-6103
Phone: (617) 484-4146
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary) Taxonomy 103TA0400X
Clinical Psychologist Taxonomy 103TC0700X · Licence 2943 (MA)

Record details

NPI number1609867670
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LADCI
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice North Charles Mental Health Research And Training Foundation, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boston