Hillary Dyan Russell, MA, RC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60280452 Issued in WA

Practice address

7520 Totem Beach Rd
Tulalip, WA 98271-6160

Phone

(360) 716-5725

NPI assigned

Jun 5, 2008

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling Centers of North Puget SoundGroup PAC ID 3375433741, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Centers of North Puget Sound

  • Professional Counselor
  • Snohomish, WA
  • NPI 1376673566
  Medicare reassignment Care Compare group NPD
• Tulalip Tribes of Washington

  dba Tulalip Tribes Health Clinic

  • General Practice Physician
  • Tulalip, WA
  • NPI 1770531501

  TX

  Medicare reassignment NPD
• Tulalip Tribes of Washington

  dba Tulalip Tribe Eye Clinic

  • Optometrist
  • Tulalip, WA
  • NPI 1831946797
  NPD

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1881853794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 33RD ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014404",
            "telephone_number": "425-876-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 TOTEM BEACH RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982716160",
            "telephone_number": "360-716-5725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1728 W Marine View Dr",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982012094",
            "country_code": "US",
            "telephone_number": "425-258-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "HILLARY",
        "middle_name": "DYAN",
        "name_prefix": "Mrs.",
        "credential": "MA, RC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60280452",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RC00055402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jean Patricia Reid, MD
• Maxine L Reid, M.D.
• Cesar Eleno Santibanez
• Jessica Schule, ND, LAC
• Gina E Skinner, CDP
• Herbert Michael Smith, RPH
• Snohomish County Fire Protection District 15 (Sno Co Fire Dist 15)

• Clinical Psychologist in Tulalip, WA
• Providers in Tulalip, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.