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

Individual provider Psychologist · NPI 1689698144

Russell R Addeo, PHD is a Clinical Psychologist in Jacksonville, Florida. Qualified in 1995, 31 years ago. Practices with Genesis Rehabilitation Hospital, Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2006
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.

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Practice location Address checks out

3901 University Blvd S
Jacksonville, FL 32216-4312
Phone: (904) 858-7216
Fax: (904) 858-7255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY5570 (FL)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PY5570 (FL)

Record details

NPI number1689698144
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESMarch 3, 2015
Mailing address11735 Glacier Bay Dr, Jacksonville, FL 32256-2989

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Genesis Rehabilitation Hospital, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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