DR. R RUSS PH.D., SUDP
NPI 1023449634
Psychologist in Longview, WA

Active since December 06, 2013PECOS EnrolledAccepts Medicare Assignment
1548 RIVER RD UNIT 105, LONGVIEW, WA 98632(520) 260-4584 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Nov 12, 2021 (2 updates tracked since 2021).

About Dr. R Russ Ph.d., Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. R RUSS PH.D., SUDP (NPI 1023449634) is an individual psychologist in Longview, Washington, licensed in Washington (PY60373444) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Longview, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023449634
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. R RUSSCredential: PH.D., SUDP
Location Address1548 RIVER RD UNIT 105Longview, WA 98632-3293
Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 6, 2013
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1023449634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60373444
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP00000957 (WA)
1548 RIVER RD UNIT 105, Longview, WA 98632

Secondary Practice Location 1

Location 1748 14th AveLongview, WA 98632-2315 · Phone (360) 200-5419 · Fax (360) 200-6736

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. R Russ Ph.d., Sudp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577792985
PECOS Enrollment IDI20240405002191
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
300 services39 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
38 services38 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Russ's NPI number?

The NPI number for R Russ is 1023449634. It was assigned to this individual provider in the NPPES registry on December 6, 2013.

Where is R Russ located?

R Russ practices at 1548 River Rd Unit 105, Longview, WA 98632. The listed phone number is (520) 260-4584.

What is R Russ's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is R Russ enrolled in Medicare?

Yes. R Russ is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does R Russ accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list R Russ as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for R Russ was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.