Individual provider Active NPI

Russell A Hunter, PSY.D

  • Clinical Psychologist
  • Vienna, VA
National Provider Identifier
1679612485
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003936 Issued in VA
Practice address
1593 Spring Hill Rd Ste 705
Vienna, VA 22182-2289
Phone
(804) 207-6737
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810003936 VA Primary

Addresses

Primary practice location

1593 Spring Hill Rd Ste 705
Vienna, VA 22182-2289

Mailing address

1593 Spring Hill Rd Ste 705
Vienna, VA 22182-2289
Phone (804) 207-6737

Other identifiers 1

IdentifierTypeStateIssuer
004945026MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20081007000362 DC Practitioner - Clinical Psychologist 2769571793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

1593 Spring Hill Rd
Suite 750
Vienna, VA 22182-2245
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810003936VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Clinical CurrentSince Dec 26, 2024 Accepting new patients

Locations

816 Greenbrier Cir
Ste 100
Chesapeake, VA 23320
Phone (757) 301-8747

1360 Beverly Rd
Ste 200
McLean, VA 22101
Phone (203) 246-9073

1593 Spring Hill Rd
Ste 750
Vienna, VA 22182
Phone (646) 457-9187

8614 Westwood Center Dr
Ste 710
Vienna, VA 22182
Phone (540) 393-8167

1593 Spring Hill Rd
Vienna, VA 22182
Phone (703) 966-2160

1593 Spring Hill Rd
Ste 705
Vienna, VA 22182
Phone (703) 844-3620

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1679612485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 SPRING HILL RD STE 705",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822289",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 SPRING HILL RD STE 705",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822289",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "RUSSELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945026",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.