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WARREN RUSSELL
NPI 1083494835
Peer Specialist in Bronx, NY

Active since September 29, 2023
2111 SOUTHERN BLVD APT 12A, BRONX, NY 10460(347) 862-3928 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Warren Russell NPPES

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

WARREN RUSSELL (NPI 1083494835) is an individual peer specialist in Bronx, New York, licensed in New York (NYCPS-P-5257) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1083494835
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameWARREN RUSSELL
Location Address2111 SOUTHERN BLVD APT 12ABronx, NY 10460-1446
Mailing Address2111 Southern Blvd Apt 12aBronx, NY 10460-1446 · (347) 862-3928
Phone(347) 862-3928
Sole ProprietorYes
Enumeration DateSeptember 29, 2023
Last NPPES UpdateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1083494835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NY · NYCPS-P-5257
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2111 SOUTHERN BLVD APT 12A, Bronx, NY 10460
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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 Warren Russell's NPI number?

The NPI number for Warren Russell is 1083494835. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Warren Russell located?

Warren Russell practices at 2111 Southern Blvd Apt 12A, Bronx, NY 10460. The listed phone number is (347) 862-3928.

What is Warren Russell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Warren Russell was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.