Individual provider Active NPI

Megan Russell, PSY.D.

  • Clinical Psychologist
  • University Place, WA
National Provider Identifier
1043607484
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4606 Issued in AZ
Practice address
6824 19TH St W # 633
University Place, WA 98466-5528
Phone
(425) 998-6293
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 4606 AZ
Clinical Psychologist 103TC0700X 4606 AZ Primary

Addresses

Primary practice location

6824 19TH St W # 633
University Place, WA 98466-5528

Mailing address

6824 19TH St W # 633
University Place, WA 98466-5528
Phone (425) 998-6293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161108002484 WA Practitioner - Clinical Psychologist 0840502431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4606AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Services by Ops, PLLC Clinical CurrentSince Jan 21, 2025 Accepting new patients
Narrows View Psychology LLC Clinical CurrentSince Nov 8, 2025 Accepting new patients
Olympic Psychology Services, PLLC CurrentSince Jan 21, 2025 Accepting new patients
Rare Wellness PastSince Oct 23, 2022 Accepting new patients
Selkirk Interventional Pain Physicians PLLC Past Accepting new patients

Locations

711 Court a
Ste 114
Tacoma, WA 98402
Phone (253) 269-6063

6824 19th St W
#633
University Place, WA 98466
Phone (425) 998-6293

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1043607484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 19TH ST W # 633",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665528",
            "telephone_number": "425-998-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 19TH ST W # 633",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984665528",
            "telephone_number": "425-998-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MEGAN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4606",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.