Active NPI
Adriana S. Russell, M.S., MFT
- Marriage & Family Therapist
- Walnut Creek, CA
National Provider Identifier
1447268875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 32978
- Practice address
- 2910 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3997 - Phone
- (925) 945-1485
- Fax
- (925) 969-0544
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 32978 | CA | Primary |
Addresses
Primary practice location
2910 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3997
Mailing address
2910 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3997
Phone (925) 945-1485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2024 through Jan 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32978 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447268875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CAMINO DIABLO",
"address_2": "SUITE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973997",
"telephone_number": "925-945-1485",
"fax_number": "925-969-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 CAMINO DIABLO",
"address_2": "SUITE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973997",
"telephone_number": "925-945-1485",
"fax_number": "925-969-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "ADRIANA",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "M.S., MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "32978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.