Eric U Russ, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

130735 Issued in KY

Practice address

2239 1/2 Talbott Ave
Louisville, KY 40205-2271

Phone

(502) 208-8794

NPI assigned

Jun 7, 2012

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Louisville Psychotherapy Group, LLC

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1770179517
  NPD Authorized official
• University of Louisville Physicians, Inc.

  dba ULP Radiological Associates

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD (past)
• University Psychiatric Foundation, Inc.

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1457539140

  Clinical

  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1912268731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 1/2 TALBOTT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052271",
            "telephone_number": "502-208-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 1/2 TALBOTT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052271",
            "telephone_number": "502-208-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "ERIC",
        "middle_name": "U",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "130735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Ruppert
• Cheyanne Michelle Rush, BCBA, LBA
• Debora Rush
• Heather Marie Rush, APRN
• Emily Rusher, OTR/L
• Jacqueline Blake Russ, APRN
• Amy Russell, OTR/L
• Andrea Russell, LCSW
• Clement Street Russell, PSY.D.
• Cynthia J Russell, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.