CLEMENT STREET RUSSELL PSY.D.
NPI 1851767974
Psychologist - Clinical in Louisville, KY

Q: What is Clement Russell's NPI number?

The NPI number for Clement Russell is 1851767974. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Q: What is Clement 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 Clement Russell was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 12, 2015

912 LILY CREEK RD, #201, LOUISVILLE, KY 40243(502) 338-0608(502) 245-1888 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Clement Street Russell Psy.d. NPPES

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

CLEMENT STREET RUSSELL PSY.D. (NPI 1851767974) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (170475) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1851767974

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCLEMENT STREET RUSSELLCredential: PSY.D.

Location Address912 LILY CREEK RD, #201Louisville, KY 40243-2815

Mailing Address912 Lily Creek Rd, #201Louisville, KY 40243-2815 · (502) 338-0608 · Fax (502) 245-1888

Phone(502) 338-0608

Fax(502) 245-1888

Sole ProprietorYes

Enumeration DateAugust 12, 2015

Last NPPES UpdateOctober 4, 2016

✔ NPI 1851767974 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 KY · 170475

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.

912 LILY CREEK RD, Louisville, KY 40243

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Other Providers at the Same Location NPPES 8

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

ITALY HESTER

Behavior Technician

912 LILY CREEK RD
LOUISVILLE, KY 40243

Jefferson County (270) 702-4641

BAILEY SELENT

Behavior Technician

912 LILY CREEK RD
LOUISVILLE, KY 40243

Jefferson County (270) 702-4641

REGINA FLOMO

Case Manager/Care Coordinator

912 LILY CREEK RD
LOUISVILLE, KY 40243

Jefferson County (270) 702-4641

AMANDA MARIE VELEZ MSSW

Marriage & Family Therapist

912 LILY CREEK RD
LOUISVILLE, KY 40243

Jefferson County (502) 338-0608

CEDRIC TOLLIVER

Behavior Technician

912 LILY CREEK RD
LOUISVILLE, KY 40243

Jefferson County (270) 702-4641

DR. ALEXANDRIA PRUITT PSY.D.

Psychologist (Clinical)

912 LILY CREEK RD, SUITE 201
LOUISVILLE, KY 40243

Jefferson County (502) 429-5431

DR. CHERI LEVINSON PHD

Psychologist (Clinical)

912 LILY CREEK RD
LOUISVILLE, KY 40243

Jefferson County (502) 338-0608

KRISTEN MAYNARD

Behavior Technician

912 LILY CREEK RD
LOUISVILLE, KY 40243

Jefferson County (270) 702-4641

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 Clement Russell's NPI number?

The NPI number for Clement Russell is 1851767974. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Where is Clement Russell located?

Clement Russell practices at 912 Lily Creek Rd #201, Louisville, KY 40243. The listed phone number is (502) 338-0608.

What is Clement Russell'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 Clement Russell was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.