Russell Lowell Hibbard Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301027773 Issued in MI

Practice address

218 W Walnut St
Kalamazoo, MI 49007-5131

Phone

(269) 344-7997

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• True2U Counseling LLP

  • Mental Health Counselor
  • Kalamazoo, MI
  • NPI 1003423773
  NPD
• Choices for Change

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1376765743
  NPD (past)
• Choices for Change Counseling Agency LPC

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
  • NPI 1699822353
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235289281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 W AB AVE",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490809641",
            "telephone_number": "269-685-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W WALNUT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075131",
            "telephone_number": "269-344-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "RUSSELL",
        "middle_name": "LOWELL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301027773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Hevron
• Keith Hewitt Jr., L.L.P.C.
• Taylor Hewitt
• Veronica Hewitt
• Kimberly Ann Hiatt, MA, LLP
• Sheila D Hibbs, LPC
• Molly Hibner
• Katherine Marie Hickman, PHD, ATC
• Sylvia Hicks-Fox, M.D.
• Junelle Hicks

• Psychiatry Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.