Russ Recovery Iop Servces- PC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RUSS RECOVERY IOP SERVCES- PC

Practice address

2825 Tahquitz Canyon Way
BLDG C
Palm Springs, CA 92262

Phone

(866) 484-6444

Fax

(760) 416-7709

NPI assigned

Aug 16, 2012

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Carl Russ, M.D.

Title

Medical Director

Phone

(760) 416-7755

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1700134046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 TAHQUITZ CANYON WAY",
            "address_2": "BLDG C",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627038",
            "telephone_number": "866-484-6444",
            "fax_number": "760-416-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 TAHQUITZ CANYON WAY",
            "address_2": "BLDG C",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "866-484-6444",
            "fax_number": "760-416-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS RECOVERY IOP SERVCES- PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-416-7755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "MFC49984",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Elizabeth Roy
• Natalie Rue, FNP-C
• Nina Grace Ruedas, LMFT
• Gianluigi Ruiz
• Tania Ruiz
• Charles Russell III, PHARM.D
• Christopher G Russell, CRNA
• Askat Ruzyev, L.AC., DIPL.O.M.
• Patricia Lynn Ryan, NP
• S Ava Mahapatra MD a Prof Corporation

• Addiction (Substance Use Disorder) Counselor in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.