Reclaim Wellness Group

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

RECLAIM WELLNESS GROUP

Practice address

4010 Dupont Cir Ste 600
Louisville, KY 40207-4883

Phone

(502) 758-9878

NPI assigned

Jun 16, 2023

Last updated

Jun 16, 2023By 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

Clement Street Russell, PSYDNPI 1851767974

Title

Co-Owner

Phone

(502) 777-3188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clement Street Russell, PSY.D.

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1851767974
  NPD Authorized official

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1831874023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074883",
            "telephone_number": "502-758-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074883",
            "telephone_number": "502-758-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "STREET",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "502-777-3188",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ann Receveur, CSW
• Amber Renee Recktenwald
• Kimberly Recktenwald
• Molly Recktenwald, APRN
• Reclaim Recovery Louisville LLC
• Recovercare LLC
• Recovery Care PLLC
• Recovery Chestnut, LLC
• Recovery Help, LLC.
• Recovery Louisville

• Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.