DR. HEATHER FLYNN RUSSELL PHD
NPI 1962546580
Psychologist in Philadelphia, PA

Active since February 16, 2007PECOS Enrolled
3551 N BROAD ST, PHILADELPHIA, PA 19140(215) 430-4022(215) 430-4079 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Heather Flynn Russell Phd NPPES

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

DR. HEATHER FLYNN RUSSELL PHD (NPI 1962546580) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS015004) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1962546580
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. HEATHER FLYNN RUSSELLCredential: PHD
Location Address3551 N BROAD STPhiladelphia, PA 19140-4160
Mailing AddressShriners Hospital For Children Philadelphia, Lockbox #7642 - Po Box 8500Philadelphia, PA 19178-0001 · (813) 281-8478 · Fax (813) 218-8113
Fax(215) 430-4079
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 21, 2010
NPI 1962546580 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 PA · PS015004
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.
3551 N BROAD ST, Philadelphia, PA 19140

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. Heather Flynn Russell Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759875768
PECOS Enrollment IDI20251208003039
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 20

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

Plastic Surgery (Surgery of the Hand)
3551 N BROAD ST
PHILADELPHIA, PA 19140
Nurse Practitioner (Family)
3551 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3551 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3551 N BROAD ST
PHILADELPHIA, PA 19140
Physician Assistant
3551 N BROAD ST
PHILADELPHIA, PA 19140
Nurse Practitioner (Pediatrics)
3551 N BROAD ST
PHILADELPHIA, PA 19140
Special Hospital
3551 N BROAD ST
PHILADELPHIA, PA 19140
Nurse Practitioner (Pediatrics)
3551 N BROAD ST
PHILADELPHIA, PA 19140

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 Heather Russell's NPI number?

The NPI number for Heather Russell is 1962546580. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Heather Russell located?

Heather Russell practices at 3551 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 430-4022.

What is Heather Russell's specialty?

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

Is Heather Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heather Russell was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.