KELLY MARIE SPEGEL RUSSELL PH.D.
NPI 1992179535
Psychologist in Wyoming, MI

Active since November 19, 2015
1055 GEZON PKWY SW, WYOMING, MI 49509(616) 773-2908(616) 532-3046 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 4, 2024, Feb 25, 2019, Nov 19, 2015 (3 updates tracked since 2015).

About Kelly Marie Spegel Russell Ph.d. NPPES

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

KELLY MARIE SPEGEL RUSSELL PH.D. (NPI 1992179535) is an individual psychologist in Wyoming, Michigan, licensed in Michigan (6301016993) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1992179535
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKELLY MARIE SPEGEL RUSSELLCredential: PH.D.
Location Address1055 GEZON PKWY SWWyoming, MI 49509-9542
Mailing Address1055 Gezon Pkwy SwWyoming, MI 49509-9542 · (616) 773-2908 · Fax (616) 532-3046
Fax(616) 532-3046
Sole ProprietorNo
Enumeration DateNovember 19, 2015
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1992179535 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 MI · 6301016993
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.
1055 GEZON PKWY SW, Wyoming, MI 49509

Accepted Insurance

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.

Social Worker (Clinical)
1055 GEZON PKWY SW
WYOMING, MI 49509
Counselor (Mental Health)
1055 GEZON PKWY SW
WYOMING, MI 49509
Psychologist
1055 GEZON PKWY SW
WYOMING, MI 49509
Counselor (Professional)
1055 GEZON PKWY SW
WYOMING, MI 49509
Psychologist (Counseling)
1055 GEZON PKWY SW
WYOMING, MI 49509
Counselor (Mental Health)
1055 GEZON PKWY SW
WYOMING, MI 49509
Counselor (Mental Health)
1055 GEZON PKWY SW
WYOMING, MI 49509
Social Worker (Clinical)
1055 GEZON PKWY SW
WYOMING, MI 49509

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 Kelly Russell's NPI number?

The NPI number for Kelly Russell is 1992179535. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Where is Kelly Russell located?

Kelly Russell practices at 1055 Gezon Pkwy SW, Wyoming, MI 49509. The listed phone number is (616) 773-2908.

What is Kelly Russell's specialty?

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

What insurance does Kelly Russell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Kelly Russell 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 Kelly Russell was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.