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SUE A RUSSELL PHD PC
NPI 1942371067
Psychologist - Clinical in Grand Forks, ND

Active since November 11, 2006
628 7TH AVE S, GRAND FORKS, ND 58201(701) 746-8737(701) 746-4763 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sue A Russell Phd Pc NPPES

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

SUE A RUSSELL PHD PC (NPI 1942371067) is a healthcare organization registered as a clinical in Grand Forks, North Dakota and active in the NPI registry since November 2006. The organization lists Sue Ann Russell, President, as its authorized official.

NPPES Registry Identity

NPI1942371067
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSUE A RUSSELL PHD PC
Location Address628 7TH AVE SGrand Forks, ND 58201-4854
Mailing Address628 7th Ave SGrand Forks, ND 58201-4854 · (701) 746-8737 · Fax (701) 746-4763
Phone(701) 746-8737
Fax(701) 746-4763
Organization SubpartNo
Authorized OfficialSue Ann RussellPresident · (701) 746-8737
Enumeration DateNovember 11, 2006
Last NPPES UpdateFebruary 27, 2015
✔ NPI 1942371067 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 ND · 241
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.
628 7TH AVE S, Grand Forks, ND 58201
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Other Identifiers 3

Medicaid17418ND
Other11499ND · Blue Cross Blue Shield
Medicaid342553300MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sue A Russell Phd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sue A Russell Phd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sue Russell, PH.D.
Clinical Psychologist
NPI 1043382773
2704 BELMONT RD
Grand Forks, ND 58201
(701) 746-8737
✔ PECOS✔ Accepts Medicare1.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sue A Russell Phd PC's NPI number?

The NPI number for Sue A Russell Phd PC is 1942371067. It was assigned to this organization in the NPPES registry on November 11, 2006.

Where is Sue A Russell Phd PC located?

Sue A Russell Phd PC is located at 628 7th Ave S, Grand Forks, ND 58201. The listed phone number is (701) 746-8737.

What is Sue A Russell Phd PC's specialty?

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

Is Sue A Russell Phd PC enrolled in Medicare?

Yes. Sue A Russell Phd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sue A Russell Phd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Sue A Russell Phd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sue A Russell Phd PC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Sue A Russell Phd PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sue A Russell Phd PC was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.