Russell James Group, P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

01803 Issued in MD

Legal business name

RUSSELL JAMES GROUP, P.A.

Practice address

857 Park Ave
Baltimore, MD 21201-4800

Phone

(410) 244-0227

Fax

(866) 695-6454

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Russell J Hibler, PH.DNPI 1700842903

Title

Owner

Phone

(410) 721-2133

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell J Hibler, PHD

  • Cognitive & Behavioral Psychologist
  • Crofton, MD
  • NPI 1700842903
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1710228739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 ETON WAY",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141524",
            "telephone_number": "410-721-2133",
            "fax_number": "866-695-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014800",
            "telephone_number": "410-244-0227",
            "fax_number": "866-695-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL JAMES GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "HIBLER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-721-2133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "01803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700842903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily C Rushing, M.D.
• Errol H Rushovich, MD
• Paul E. Ruskin, M.D.
• Jose R. Russe Russe, MD
• Leslie Russel, L.AC
• Aisha Russell, MS,LAT,ATC
• Bernadette Russell, CPNP
• Brendan Russell, OTR/L
• Datavia Russell, LPN
• Donald Martin Russell, DDS ORTHODONTIST

• Clinical Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.