MATTHEW RUSSELL PHD
NPI 1487203485
Psychologist - Clinical in Skokie, IL

Q: What is Matthew Russell's NPI number?

The NPI number for Matthew Russell is 1487203485. It was assigned to this individual provider in the NPPES registry on September 11, 2019. The provider is also known as Matthew E.B. Russell.

Q: What is Matthew Russell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Russell was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 11, 2019PECOS EnrolledAccepts Medicare Assignment

9600 GROSS POINT RD STE 1200, SKOKIE, IL 60076(847) 909-5445 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2026, Sep 11, 2019 (2 updates tracked since 2019).

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About Matthew Russell Phd NPPES

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

MATTHEW RUSSELL PHD (NPI 1487203485) is an individual clinical provider in Skokie, Illinois, licensed in Illinois (071021089) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487203485

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMATTHEW RUSSELLCredential: PHD

Location Address9600 GROSS POINT RD STE 1200Skokie, IL 60076-1214

Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700

Phone(847) 909-5445

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 11, 2019

Last NPPES UpdateApril 2, 20262 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1487203485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in IL · 071021089✔ Licensed in TX · 38283

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.

9600 GROSS POINT RD STE 1200, Skokie, IL 60076

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Other Names 1

Other Name (5)Matthew E.b. Russell

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Matthew Russell Phd 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.

PECOS PAC ID7517394877

PECOS Enrollment IDI20250909000283

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 10

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

VICTORIA NGOZI ANICHEBE

Physician Assistant (Surgical)