Russell D Pella, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

34782 Issued in TX

Practice address

7146 S Braden Ave Ste 500
Tulsa, OK 74136-6376

Phone

(918) 986-7036

Fax

(833) 317-4151

NPI assigned

Apr 29, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Neurometrics, PLLC

  • Clinical Neuropsychologist
  • Tulsa, OK
  • NPI 1457711251
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1700177391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 S IRVINGTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357524",
            "telephone_number": "918-986-7036",
            "fax_number": "833-317-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7146 S BRADEN AVE STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366376",
            "telephone_number": "918-986-7036",
            "fax_number": "833-317-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLA",
        "first_name": "RUSSELL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OK",
            "license": "1248",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284979601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sibe Jacob Pegou, PMHNP-BC
• Tea Pegues
• Laura Peiffer
• Bruce Peixotto, NP
• Ika Izchak Peleg, MD
• Shamia Pelton
• Frank E Peluso, DO
• Nicholas Ryan Peluso, D.O.
• Pelvic Health Specialists LLC
• Pelvic PT Consultants LLC

• Clinical Neuropsychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Neuropsychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.