DR. JOHN KENNETH RUSSELL PH.D.
NPI 1407843295
Psychologist - Clinical in Manhattan Beach, CA
About Dr. John Kenneth Russell Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN KENNETH RUSSELL PH.D. (NPI 1407843295) is an individual clinical provider in Manhattan Beach, California, licensed in California (PSY4430) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1974).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Kenneth Russell Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 John Russell's NPI number?
The NPI number for John Russell is 1407843295. It was assigned to this individual provider in the NPPES registry on October 5, 2005.
Where is John Russell located?
John Russell practices at 1219 Morningside Dr # 134, Manhattan Beach, CA 90266. The listed phone number is (562) 682-3556.
What is John Russell's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is John Russell enrolled in Medicare?
Yes. John Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does John Russell accept?
Health plans from Providence Health Plan list John Russell 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 John Russell was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.
# Dr. John Kenneth Russell, PH.D. · NPI 1407843295
Clinical provider in Manhattan Beach, California. Individual provider, active in the CMS NPPES registry since October 5, 2005.
## Identity
- **NPI:** 1407843295 (Entity type: Individual)
- **Enumerated:** October 5, 2005
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY4430 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1219 MORNINGSIDE DR # 134, Manhattan Beach, CA 90266-4769
- **Phone:** (562) 682-3556
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1974
## Record status
- **NPPES last updated:** September 23, 2026
- **Other identifiers:** Other 95-3278711 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407843295) · Data from the CMS NPPES public registry.