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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GERALD LEE RUSSELL PHD
NPI 1326040148
Clinical Neuropsychologist in Las Vegas, NM

Active since August 11, 2005
713 6TH ST, LAS VEGAS, NM 87701(505) 429-4679(505) 425-3370 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Lee Russell Phd NPPES

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

GERALD LEE RUSSELL PHD (NPI 1326040148) is an individual clinical neuropsychologist in Las Vegas, New Mexico, licensed in New Mexico (761) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1326040148
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameGERALD LEE RUSSELLCredential: PHD
Location Address713 6TH STLas Vegas, NM 87701-4359
Mailing AddressPo Box 1705Las Vegas, NM 87701-1705 · (505) 454-2202 · Fax (505) 454-2211
Phone(505) 429-4679
Fax(505) 425-3370
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1326040148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NM · 761
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
713 6TH ST, Las Vegas, NM 87701
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Other Identifiers 1

Medicaid76705NM

Other Providers at the Same Location NPPES 3

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

DR. BRIAN CHRISTOPHER PARTRIDGE PSY.D.
Counselor (Professional)
713 6TH ST, OFFICE #2
LAS VEGAS, NM 87701
San Miguel County (505) 425-2910
MRS. JUDY LONG MSW
Social Worker (Clinical)
713 6TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 425-6126
MS. MIGNON ELISSE MCNICOL LISW
Social Worker (Clinical)
713 6TH ST
LAS VEGAS, NM 87701
San Miguel County (505) 429-0588

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 Gerald Russell's NPI number?

The NPI number for Gerald Russell is 1326040148. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Gerald Russell located?

Gerald Russell practices at 713 6th St, Las Vegas, NM 87701. The listed phone number is (505) 429-4679.

What is Gerald Russell's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Gerald Russell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.