RUSSELL R ADDEO (PHD) – Psychologist, NPI 1689698144

RUSSELL R ADDEO (PHD) is a healthcare provider. based in Jacksonville, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PY5570 (FL). The NPI Number for RUSSELL R ADDEO (PHD) is 1689698144

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL R ADDEO (PHD)
NPI
1689698144
Phone
(904) 858-7216
Address
3901 UNIVERSITY BLVD S
Enumeration Date
27 July 2006
Last Update Date
3 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048587606
Graduation Year
1995 (31 years ago)
PAC ID
2365441151
Group Practice PAC ID
4284664954
Professional Enrollment ID
I20061205000116
Address ID
FL322164312JA3901XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for RUSSELL R ADDEO (PHD)

  • 3901, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322164312

    Phone: (904) 858-7216

    Fax: (904) 858-7255

    Type: Location

  • 11735, Glacier Bay Drive, Hampton Park, Jacksonville, Duval County, Florida, 32256, United States

    JACKSONVILLE, FL 322562989

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061205000116IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96139Administration of psychological or neuropsychological test by technician, each additional 30 minutes7812$0
96133Evaluation of neuropsychological test, each additional hour4613$0
96132Evaluation of neuropsychological test, first hour1614$0
96116Exam of neurobehavioral status, first hour1313$0
96121Exam of neurobehavioral status, each additional hour1313$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284664954View full group profile
NameSpecialtyState
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistFL
Clinical PsychologistOR
-FL
Clinical PsychologistWI
Clinical PsychologistAL
Clinical PsychologistFL
-FL
-FL

Reviews

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Frequently asked questions

Is there an official ID for RUSSELL R ADDEO (PHD) in U.S. healthcare records?
The official identifier for RUSSELL R ADDEO (PHD) is NPI 1689698144.
Is RUSSELL R ADDEO (PHD) shown as active in public data?
Registry records indicate RUSSELL R ADDEO (PHD) maintains an active NPI.
What clinical focus is listed for RUSSELL R ADDEO (PHD)?
At a glance, RUSSELL R ADDEO (PHD) is tied to Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for RUSSELL R ADDEO (PHD)?
Travel planning: use Jacksonville, Florida as the reference point for RUSSELL R ADDEO (PHD), then confirm.
Does RUSSELL R ADDEO (PHD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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