DR. STEPHEN FORREST RUSSELL PHD
NPI 1164477220
Psychologist - Clinical in Tampa, FL

Active since May 24, 2006
4700 N. HABANA AVE., SUITE 300, TAMPA, FL 33614(813) 870-0392(813) 871-6305 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stephen Forrest Russell Phd NPPES

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

DR. STEPHEN FORREST RUSSELL PHD (NPI 1164477220) is an individual clinical provider in Tampa, Florida, licensed in Florida (PY0003453) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1164477220
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STEPHEN FORREST RUSSELLCredential: PHD
Location Address4700 N. HABANA AVE., SUITE 300Tampa, FL 33614-7160
Mailing Address4700 N. Habana Ave., Suite 300Tampa, FL 33614-7160 · (813) 870-0392 · Fax (813) 871-6305
Fax(813) 871-6305
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1164477220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · PY0003453
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4700 N. HABANA AVE., Tampa, FL 33614

Other Identifiers 3

Other73684FL · Bcbs
Medicare ID-Type Unspecified73684ZFL
Other39977FL · Bcbs Grp

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist (Clinical)
4700 N. HABANA AVE., SUITE 300
TAMPA, FL 33614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164477220, enumerated as an "individual" on May 24, 2006.

The provider is located at 4700 N. HABANA AVE. SUITE 300 TAMPA, FL 33614 and the phone number is (813) 870-0392.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.