WARREN K RUSSELL PH D P C
NPI 1417019522
Psychologist in Oklahoma City, OK
About Warren K Russell Ph D P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WARREN K RUSSELL PH D P C (NPI 1417019522) is a healthcare organization registered as a psychologist in Oklahoma City, Oklahoma and active in the NPI registry since December 2006. The organization lists Warren K Russell, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Warren K Russell Ph D P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Warren K Russell Ph D P C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 K Russell Ph D P C's NPI number?
The NPI number for Warren K Russell Ph D P C is 1417019522. It was assigned to this organization in the NPPES registry on December 14, 2006.
Where is Warren K Russell Ph D P C located?
Warren K Russell Ph D P C is located at 717 NW 56th St, Oklahoma City, OK 73118. The listed phone number is (405) 415-2302.
What is Warren K Russell Ph D P C's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Warren K Russell Ph D P C enrolled in Medicare?
Yes. Warren K Russell Ph D P C is registered in the Medicare PECOS enrollment system.
When is Warren K Russell Ph D P C's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Warren K Russell Ph D P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Warren K Russell Ph D P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Warren K Russell Ph D P C was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.