Active NPI
James Thaddeus Russell, PH.D.
- Clinical Psychologist
- Hammond, LA
National Provider Identifier
1326142951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 600
- Practice address
- 1131 S Morrison Blvd
VA Outpatient Clinic
Hammond, LA 70403 - Phone
- (985) 340-2195
- Fax
- (985) 340-3834
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 600 | LA | Primary |
Addresses
Primary practice location
1131 S Morrison Blvd
VA Outpatient Clinic
Hammond, LA 70403
Mailing address
61 Parc PL
Mandeville, LA 70471-7282
Phone (985) 626-4363
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600 | LA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326142951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 PARC PL",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704717282",
"telephone_number": "985-626-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 S MORRISON BLVD",
"address_2": "VA OUTPATIENT CLINIC",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "985-340-2195",
"fax_number": "985-340-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JAMES",
"middle_name": "THADDEUS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
- Philomena H Rube, CRNA
- Arielle Ruffin
- Kylie R Ruiz
- Vincent Joseph Rusciano, RPH
- April Rushing, M. ED., CCC-SLP
- Jeremy Lawrence Russell, PA-C
- Wanda L Russell
- Miranda Brown Rutland, NP
- Amy Elizabeth Ryan, FNP
- S. Joel Tewis, DDS, a Professional Dental Corporation (Affordable Dentures & Implants - Hammond)
Sources for this page
- 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.