Russell J. Meyerhofer, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0004796 Issued in CO

Practice address

1919 N Grand Ave
Pueblo, CO 81003-2614

Phone

(719) 569-2738

NPI assigned

May 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russell.meyerhofer.1@30520.direct.athenahealth.com

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  CO

  Medicare reassignment Care Compare group NPD
• Total Life FL PA

  • Integrative Medicine Physician
  • Potomac, MD
  • NPI 1447057286

  Clinical, CO

  Medicare reassignment NPD

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1215148671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032614",
            "telephone_number": "719-569-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 N GRAND AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032614",
            "telephone_number": "719-569-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERHOFER",
        "first_name": "RUSSELL",
        "middle_name": "J.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0004796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Mestas, LPC
• Cristin C Metze
• David Charles Meyer, M.D.
• Mackenzee Cheyenne Meyer
• Sarah Elizabeth Meyer, P.T.
• Mga Home Healthcare Pueblo, LLC
• Mi Casa Transitional Services Inc
• Mi Casa Transitional Services Inc
• Maria Miceli
• Michael a. Ramos, MD., PC

• Clinical Psychologist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.