DR. MARY RUSSELL PH.D.
NPI 1922472927
Psychologist in Urbana, IL

Active since November 15, 2015PECOS Enrolled
404 W GREEN ST, URBANA, IL 61801(217) 621-9302 Get Directions Write a Review

NPPES record last updated: November 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Russell Ph.d. NPPES

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

DR. MARY RUSSELL PH.D. (NPI 1922472927) is an individual psychologist in Urbana, Illinois, licensed in Illinois (071.007739) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922472927
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY RUSSELLCredential: PH.D.
Location Address404 W GREEN STUrbana, IL 61801-3267
Mailing Address404 W Green StUrbana, IL 61801-3267 · (217) 621-9302
Sole ProprietorYes
Enumeration DateNovember 15, 2015
NPI 1922472927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071.007739
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
404 W GREEN ST, Urbana, IL 61801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mary Russell Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Psychologist (Clinical)
404 W GREEN ST
URBANA, IL 61801
Dentist (General Practice)
404 W GREEN ST
URBANA, IL 61801
Social Worker (Clinical)
404 W GREEN ST
URBANA, IL 61801
Psychologist (Clinical)
404 W GREEN ST
URBANA, IL 61801
Psychologist (Clinical)
404 W GREEN ST
URBANA, IL 61801
Social Worker (Clinical)
404 W GREEN ST
URBANA, IL 61801
Social Worker (Clinical)
404 W GREEN ST
URBANA, IL 61801
Social Worker (Clinical)
404 W GREEN ST
URBANA, IL 61801

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 Mary Russell's NPI number?

The NPI number for Mary Russell is 1922472927. It was assigned to this individual provider in the NPPES registry on November 15, 2015.

Where is Mary Russell located?

Mary Russell practices at 404 W Green St, Urbana, IL 61801. The listed phone number is (217) 621-9302.

What is Mary Russell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mary Russell enrolled in Medicare?

Yes. Mary Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Russell was last updated on November 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.