Dr. Michael Lee Russell Sr.
Clinical Neuropsychologist

Address: Hq, Tradoc, Suite 412 Atbo-m, Bldg 82, 60 Ingalls Road, Fort Monroe, VA 23651-1032
Phone: 7577882229

Dr. Michael Lee Russell Sr. (NPI# 1255304887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1255304887
Entity Type Individual
Full Name Dr. Michael Lee Russell Sr.
Credential PH.D.
Gender Male
Practice Address Hq, Tradoc, Suite 412 Atbo-m
Bldg 82, 60 Ingalls Road
Fort Monroe
VA 23651-1032
Practice Telephone 7577882229
Practice Fax Number 7577882962
Mailing Address 454 Gulick Dr.
Apartment B
Fort Monroe
VA 23651
Mailing Telephone 7577882229
Mailing Fax Number 7577882962
Sole Proprietor Not Answered
Enumeration Date 2006-02-13
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers PY00002256 WA
No 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers PY00002256 WA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1003374265 Michael Russell Surgery 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 2019-03-06
1619351715 Michael Steven Russell Optometrist 1112 S Washington St Ste 214, Naperville, IL 60540-7964 2015-07-17
1518279215 Michael Russell Psychologist 4951 Chambers Street - 6th Floor, Ny, NY 10007-1209 2010-07-10
1245414093 Michael Russell Non-emergency Medical Transport (VAN) 4588 N 23rd St, Milwaukee, WI 53209-6201 2007-12-27
1124242821 Michael Dennis Russell Chiropractor 1164 Monroe St, Suite #1, Salinas, CA 93906-3565 2007-04-12
1831282441 Michael Guy Russell Social Worker 8 West Monroe, #907, Chicago, IL 60603 2006-10-02
1962502880 Michael A Russell Chiropractor 18624 Detroit Ave, Lakewood, OH 44107-3202 2006-09-22
1134139157 Michael A Russell Dentist 2240 N Highway 89, Suite A, Harrisville, UT 84404-2651 2006-08-09
1285640128 Michael Russell Counselor 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 2006-07-31
1780289504 Michael Russell Pharmacist 208 W Jackson St, Sullivan, IL 61951-1454 2020-12-01
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Notes: Source: American Psychological Association, www.apa.org [1/1/2007: title modified, 1/1/2019: defintion modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861008492 Nicole N Hashemian Clinical Neuropsychologist 3040 Williams Dr Ste 402, Fairfax, VA 22031-4618 2020-09-18
1447877527 Sabrina Kate Jennings Clinical Neuropsychologist 8100 Innovation Park Dr, Fairfax, VA 22031-4870 2020-07-06
1831710755 Reston Precision Neuropsychology LLC Clinical Neuropsychologist 441-d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 2020-05-01
1841848504 Dr Vivian Begali Lcp Facpn Abn Abpp LLC Clinical Neuropsychologist 9327 Midlothian Tpke Ste 1c, North Chesterfield, VA 23235-4965 2019-08-27
1528527140 Natalia Lugina Mauranne Clinical Neuropsychologist 441d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 2019-03-13
1518434604 Jessica Isabel Alva Clinical Neuropsychologist 12735 Inverness Way, Woodbridge, VA 22192-5038 2018-10-27
1447746383 Hilary Caroline Goetz Clinical Neuropsychologist 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 2018-07-03
1851801708 William David Crews Jr. Clinical Neuropsychologist 118 Dreaming Creek Dr, Lynchburg, VA 24502-2735 2017-10-05
1306360425 Nacmed Clinical Neuropsychologist 90 Chatham Heights Rd, Fredericksburg, VA 22405-2566 2017-07-31
1003330408 Cognitive Consults and Technology LLC Clinical Neuropsychologist 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 2017-07-28
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Office Location

Street Address HQ, TRADOC, SUITE 412 ATBO-M
BLDG 82, 60 INGALLS ROAD
City FORT MONROE
State VA
Zip Code 23651-1032

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821294729 Mcdonald Army Health Center Clinic/Center Building 82 Ingals, Fort Monroe, VA 23651 2007-06-26
1386743409 Mcdonald Army Health Center Military/U.S. Coast Guard Pharmacy Ingalls Rd Bldg 82, Ft Monroe, VA 23651 2006-09-22
1750997441 Adrienne Reddick Nurse Practitioner 17 Moat Walk Unit 140a, Fort Monroe, VA 23651-1020 2020-09-18
1538679352 Artisan Counseling Counselor 11 Moat Walk, Fort Monroe, VA 23651-1020 2017-10-06
1386163368 Virginia Chiropractic & Wellness Chiropractor 4 Reeder Cir Apt 35b, Fort Monroe, VA 23651-1027 2017-09-12
1952465981 Ronald Ellyson Physician Assistant 60 Ingalls Rd Bldg 82, Ste. 412, Fort Monroe, VA 23651-1032 2006-12-21
1740267962 Peter David Cross Family Medicine 60 Ingalls Rd, Craven Army Health Clinic, Fort Monroe, VA 23651-1032 2005-12-29
1821202151 Mcdonald Army Health Center Clinic/Center 60 Ingalls Rd, Fort Monroe, VA 23651-1032 2007-05-09
1679637235 Tamara Williams Fox Family Medicine 60 Ingalls Rd, Building 82, Fort Monroe, VA 23651-1032 2006-12-20
1023410859 Kristi Langschied Physical Therapy Assistant 2 Fenwick Rd, Fort Monroe, VA 23651-1120 2014-09-24
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Competitor

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City FORT MONROE
Zip Code 23651

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.