Lita Wilson Russell, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2532 Issued in NC

Practice address

141 Providence Rd
Ste 100
Chapel Hill, NC 27514-6219

Phone

(919) 601-7985

Fax

(888) 208-9941

NPI assigned

Jan 31, 2007

Last updated

Apr 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

University of Massachusetts Medical School, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Lita W. Russell, PH.D., PLLC

  • Psychologist
  • Chapel Hill, NC
  • NPI 1467161422
  Medicare reassignment NPD Authorized official
• Cohesive Pathways, PC

  • Clinical Social Worker
  • Chapel Hill, NC
  • NPI 1003034547
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1235276072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PROVIDENCE RD",
            "address_2": "STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146219",
            "telephone_number": "919-601-7985",
            "fax_number": "888-208-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PROVIDENCE RD",
            "address_2": "STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146219",
            "telephone_number": "919-601-7985",
            "fax_number": "888-208-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LITA",
        "middle_name": "WILSON",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0441W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Moriarty Rusin, M.D.
• Sarah Megan Russel, MD
• Abigail R Russell
• Alissa Victoria Russell, PHARMD
• David Russell, M.D.
• Michelle Russin, MD
• Allison Russo, PA
• Nicole Jean Ruszkay, MD
• Michele Rutherford, MA, CCC/SLP
• Sarah E Rutstein, MD, PHD

• Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.