John Alden Russell, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101025961 Issued in VA

Practice address

513 Forest Ave
Suite 206
Richmond, VA 23229-6850

Phone

(804) 288-7980

NPI assigned

Nov 21, 2006

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447325774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 FOREST AVE",
            "address_2": "SUITE 206",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296850",
            "telephone_number": "804-288-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 FOREST AVE",
            "address_2": "SUITE 206",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232296850",
            "telephone_number": "804-288-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOHN",
        "middle_name": "ALDEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101025961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny A Russell Gray, APRN
• Russell L Handy MD PC
• Amy N. Russell, FNP-C
• Angella M.a. Russell, AGPCNP
• Carrie Reid Russell, OT
• Kathryn B Russell, M.D.
• Matthew Alan Russell, DO
• Michael Frank Russell, COUNSELOR
• Roslyn Annette Russell
• Shavonne M Russell, PTA

• Psychiatry Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatry Physician in Virginia

• 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.