Individual provider Active NPI

H Russell Searight, PHD

  • Clinical Child & Adolescent Psychologist
  • Saint Louis, MO
National Provider Identifier
1740211606
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
01200 Issued in MO
Practice address
6125 Clayton Ave
Ste 222
Saint Louis, MO 63139-3265
Phone
(314) 768-3685
Fax
(314) 768-3940
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 01200 MO Primary

Addresses

Primary practice location

6125 Clayton Ave
Ste 222
Saint Louis, MO 63139-3265

Mailing address

531 Pebble Brook LN
Hmai
Belleville, IL 62221-7609
Phone (618) 779-5508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01200MOMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740211606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 PEBBLE BROOK LN",
            "address_2": "HMAI",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217609",
            "telephone_number": "618-779-5508",
            "fax_number": "618-206-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 CLAYTON AVE",
            "address_2": "STE 222",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393265",
            "telephone_number": "314-768-3685",
            "fax_number": "314-768-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARIGHT",
        "first_name": "H",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MO",
            "license": "01200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.