KELSEY ANNE RUSSOM MS
NPI 1124538848
Psychologist in Bingham Farms, MI

Active since October 08, 2017
30150 TELEGRAPH RD STE 245, BINGHAM FARMS, MI 48025(231) 580-5845 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelsey Anne Russom Ms NPPES

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

KELSEY ANNE RUSSOM MS (NPI 1124538848) is an individual psychologist in Bingham Farms, Michigan, licensed in Michigan (6361007575) and active in the NPI registry since October 2017. She maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1124538848
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKELSEY ANNE RUSSOMCredential: MS
Location Address30150 TELEGRAPH RD STE 245Bingham Farms, MI 48025-4521
Mailing Address32040 Valley View StFarmington, MI 48336-3257 · (231) 580-5845
Sole ProprietorNo
Enumeration DateOctober 8, 2017
Last NPPES UpdateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
NPI 1124538848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6361007575
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.
30150 TELEGRAPH RD STE 245, Bingham Farms, MI 48025

Secondary Practice Location 1

Location 132040 Valley View StFarmington, MI 48336-3257 · Phone (231) 580-5845

Accepted Insurance

Other Providers at the Same Location NPPES 17

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

Psychologist (Clinical)
30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI 48025
Psychologist
30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI 48025
Psychologist (Clinical)
30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI 48025
Social Worker
30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI 48025
Counselor
30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI 48025
Social Worker
30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI 48025
Psychologist
30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI 48025
Psychologist
30150 TELEGRAPH RD STE 245
BINGHAM FARMS, MI 48025

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 Kelsey Russom's NPI number?

The NPI number for Kelsey Russom is 1124538848. It was assigned to this individual provider in the NPPES registry on October 8, 2017.

Where is Kelsey Russom located?

Kelsey Russom practices at 30150 Telegraph Rd Ste 245, Bingham Farms, MI 48025. The listed phone number is (231) 580-5845.

What is Kelsey Russom's specialty?

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

What insurance does Kelsey Russom accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kelsey Russom 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 Kelsey Russom was last updated on July 5, 2024. 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.