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ALLEN FLOYD RUSSELL
NPI 1033826136
Psychologist - Adult Development & Aging in Grand Rapids, MI

Active since October 31, 2022
4488 BRETON RD SE, GRAND RAPIDS, MI 49508(616) 340-9026 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allen Floyd Russell NPPES

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

ALLEN FLOYD RUSSELL (NPI 1033826136) is an individual adult development & aging provider in Grand Rapids, Michigan and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1033826136
Entity TypeIndividualFemale
Primary Taxonomy103TA0700X
Provider Legal NameALLEN FLOYD RUSSELL
Location Address4488 BRETON RD SEGrand Rapids, MI 49508-5270
Mailing Address2529 Bridgeport Ln SeKentwood, MI 49508-8431 · (616) 340-9026
Phone(616) 340-9026
Sole ProprietorYes
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 29, 2022
✔ NPI 1033826136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · Adult Development & AgingBehavioral Health & Social Service Providers
Taxonomy Code103TA0700X
Definition
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedMealsTaxonomy 174200000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
4488 BRETON RD SE, Grand Rapids, MI 49508
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABILITIIES OF WESTERN MICHIGAN
Clinic/Center (Adult Day Care)
4488 BRETON RD SE
KENTWOOD, MI 49508
Kent County (616) 340-9026
TIFFANY EVANS
Social Worker (Clinical)
4488 BRETON RD SE
KENTWOOD, MI 49508
Kent County (616) 340-9026

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 Allen Russell's NPI number?

The NPI number for Allen Russell is 1033826136. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Allen Russell located?

Allen Russell practices at 4488 Breton Rd SE, Grand Rapids, MI 49508. The listed phone number is (616) 340-9026.

What is Allen Russell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Adult Development & Aging, with taxonomy code 103TA0700X.

When was this NPI record last updated?

The NPPES record for Allen Russell was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.