Warren K Russell, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

753 Issued in OK

Practice address

717 NW 56TH St
Oklahoma City, OK 73118-6030

Phone

(405) 415-2302

Fax

(405) 415-2301

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Warren K Russell PH D P C

  • Psychologist
  • Oklahoma City, OK
  • NPI 1417019522
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1790728871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 NW 56TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186030",
            "telephone_number": "405-415-2302",
            "fax_number": "405-415-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 NW 56TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731186030",
            "telephone_number": "405-415-2302",
            "fax_number": "405-415-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "WARREN",
        "middle_name": "K",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylie Russell
• Sharon Russell
• Tamara S Russell
• Vicki A Russell, LCSW
• Victorria F Russell, PCCNP
• Skye Marlys Rustad
• Rusty W. Sullins D.D.S., P.C.
• Emily Ruth
• John August Ruth III, MD
• Eleyah Rutherford

• Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.