MR. MICHAEL JOSEPH RUSSELL M.A. MFT, INTERN
NPI 1639269400
Marriage & Family Therapist in Fullerton, CA

Q: What is Michael Russell's NPI number?

The NPI number for Michael Russell is 1639269400. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Michael Russell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Russell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 13, 2006

211 W COMMONWEALTH AVE, FULLERTON, CA 92832(714) 447-7000(714) 447-7003 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Michael Joseph Russell M.a. Mft, Intern NPPES

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

MR. MICHAEL JOSEPH RUSSELL M.A. MFT, INTERN (NPI 1639269400) is an individual marriage & family therapist in Fullerton, California, licensed in California (IMF 45505) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1639269400

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. MICHAEL JOSEPH RUSSELLCredential: M.A. MFT, INTERN

Location Address211 W COMMONWEALTH AVEFullerton, CA 92832-1810

Mailing Address7353 Ellena W Unit 195Rancho Cucamonga, CA 91730-8383 · (626) 272-4492

Phone(714) 447-7000

Fax(714) 447-7003

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639269400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · IMF 45505

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

211 W COMMONWEALTH AVE, Fullerton, CA 92832

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Other Providers at the Same Location NPPES 9

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

MRS. CHRISTY BLACK WILLMAN RN

Registered Nurse (Psychiatric/Mental Health)