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

DR. CAROL RUSS PH.D.
NPI 1770577991
Psychologist - Clinical in Pacific Beach, CA

Active since September 02, 2005
1767 GRAND AVE, SUITE 4, PACIFIC BEACH, CA 92109(858) 755-8206 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carol Russ Ph.d. NPPES

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

DR. CAROL RUSS PH.D. (NPI 1770577991) is an individual clinical provider in Pacific Beach, California, licensed in California (PSY6070) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1770577991
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CAROL RUSSCredential: PH.D.
Location Address1767 GRAND AVE, SUITE 4Pacific Beach, CA 92109-4400
Mailing Address1767 Grand Ave, Suite 4Pacific Beach, CA 92109-4400 · (858) 755-8206
Sole ProprietorNo
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1770577991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY6070
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.
1767 GRAND AVE, Pacific Beach, CA 92109

Other Identifiers 1

OtherPSY6070CA · Clinical Psychologist

Other Providers at the Same Location NPPES 5

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

Marriage & Family Therapist
1767 GRAND AVE, STE 4
SAN DIEGO, CA 92109
Social Worker (Clinical)
1767 GRAND AVE, SUITE 4
SAN DIEGO, CA 92109
Marriage & Family Therapist
1767 GRAND AVE, #4
SAN DIEGO, CA 92109
Marriage & Family Therapist
1767 GRAND AVE, SUITE 4
SAN DIEGO, CA 92109
Marriage & Family Therapist
1767 GRAND AVE, SUITE 4
SAN DIEGO, CA 92109

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 Carol Russ's NPI number?

The NPI number for Carol Russ is 1770577991. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Carol Russ located?

Carol Russ practices at 1767 Grand Ave Suite 4, Pacific Beach, CA 92109. The listed phone number is (858) 755-8206.

What is Carol Russ's specialty?

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

When was this NPI record last updated?

The NPPES record for Carol Russ 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 36 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.