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DR. WILLIAM E RUSSNER PHD LLP
NPI 1972646313
Psychologist - Clinical in Holland, MI

Active since February 15, 2007Opted out of Medicare · through Mar 23, 2028
12978 JAMES ST STE 10, HOLLAND, MI 49424(616) 399-7005(616) 399-7150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. William E Russner Phd Llp NPPES

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

DR. WILLIAM E RUSSNER PHD LLP (NPI 1972646313) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6301011778) and active in the NPI registry since February 2007. He has opted out of Medicare through March 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972646313
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. WILLIAM E RUSSNERCredential: PHD LLP
Location Address12978 JAMES ST STE 10Holland, MI 49424
Mailing Address12978 James St Ste 10Holland, MI 49424 · (616) 399-7005 · Fax (616) 399-7150
Phone(616) 399-7005
Fax(616) 399-7150
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972646313 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 MI · 6301011778
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.
12978 JAMES ST STE 10, Holland, MI 49424
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. William E Russner Phd Llp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 23, 2016 through March 23, 2028.

Opt-Out Effective DateMarch 23, 2016
Opt-Out In Effect ThroughMarch 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

ALL ABOUT YOU CHIROPRACTIC LLC
Chiropractor
12978 JAMES ST STE 10
HOLLAND, MI 49424
Ottawa County (734) 649-7818
DR. JOSHUA ADAM CEBULA D.C
Chiropractor
12978 JAMES ST STE 10
HOLLAND, MI 49424
Ottawa County (734) 649-7818

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 William Russner's NPI number?

The NPI number for William Russner is 1972646313. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is William Russner located?

William Russner practices at 12978 James St Ste 10, Holland, MI 49424. The listed phone number is (616) 399-7005.

What is William Russner's specialty?

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

Is William Russner enrolled in Medicare?

No. William Russner has opted out of Medicare through March 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for William Russner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.