Active NPI
Russell W French, PSYD
- Clinical Psychologist
- Santa Maria, CA
National Provider Identifier
1053187864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB94026661
- Practice address
- 1103 E Clark Ave Ste C
Santa Maria, CA 93455-5145 - Phone
- (805) 448-7469
- Fax
- (805) 354-0806
- NPI assigned
- Dec 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB94026661 | CA | Primary |
Addresses
Primary practice location
1103 E Clark Ave Ste C
Santa Maria, CA 93455-5145
Mailing address
1103 E Clark Ave Ste C
Santa Maria, CA 93455-5145
Phone (805) 448-7469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94026661 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1053187864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 E CLARK AVE STE C",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934555145",
"telephone_number": "805-448-7469",
"fax_number": "805-354-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 E CLARK AVE STE C",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934555145",
"telephone_number": "805-448-7469",
"fax_number": "805-354-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRENCH",
"first_name": "RUSSELL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94026661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.