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DR. ANDREA M RUSSELL PHD
NPI 1851079024
Psychologist - Clinical in Chicago, IL

Active since July 07, 2023PECOS EnrolledAccepts Medicare Assignment
675 N SAINT CLAIR ST FL 18, CHICAGO, IL 60611(312) 695-8630 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrea M Russell Phd NPPES

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

DR. ANDREA M RUSSELL PHD (NPI 1851079024) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.011112) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1851079024
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREA M RUSSELLCredential: PHD
Location Address675 N SAINT CLAIR ST FL 18Chicago, IL 60611-5975
Mailing Address750 N Lake Shore Dr Fl 10Chicago, IL 60611-4550 · (312) 503-6123
Phone(312) 695-8630
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 7, 2023
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1851079024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.011112
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.
Also ListedPsychologistTaxonomy 103T00000X · License 071011112 (IL)
675 N SAINT CLAIR ST FL 18, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 1675 N Saint Clair St Fl 13Chicago, IL 60611-5975 · Phone (312) 926-8200 · Fax (312) 926-0162

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. Andrea M 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 ID4688024722
PECOS Enrollment IDI20240102001564
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
49 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

Other Providers at the Same Location NPPES 3

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

ALEXANDRA PETRAKOS MD
Internal Medicine (Geriatric Medicine)
675 N SAINT CLAIR ST FL 18
CHICAGO, IL 60611
Cook County (312) 695-4525
VICTORIA LARSEN APRN
Nurse Practitioner (Family)
675 N SAINT CLAIR ST FL 18
CHICAGO, IL 60611
Cook County (312) 695-8624
SASHA FAYE JONES MD, MPH
Family Medicine (Geriatric Medicine)
675 N SAINT CLAIR ST FL 18
CHICAGO, IL 60611
Cook County (312) 695-4525

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 Andrea Russell's NPI number?

The NPI number for Andrea Russell is 1851079024. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Andrea Russell located?

Andrea Russell practices at 675 N Saint Clair St Fl 18, Chicago, IL 60611. The listed phone number is (312) 695-8630.

What is Andrea Russell's specialty?

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

Is Andrea Russell enrolled in Medicare?

Yes. Andrea 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.

When was this NPI record last updated?

The NPPES record for Andrea Russell was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.