R Russ, PH.D., SUDP
NPI 1023449634 · Psychologist · Longview, WA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
R Russ, PH.D., SUDP is a Psychologist provider in Longview, WA (NPI 1023449634).
Provider details
- NPI number
- 1023449634
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., SUDP
- Sex
- Male
- Sole proprietor
- No
- License
- CP00000957 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
338 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 300 | $161 |
| Psychiatric Diagnostic Evaluation90791 | 38 | $183 |
Typical Medicare-allowed amounts for these services range $161–$183 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 748 14th AveLongview, WA 98632-2315Phone: (360) 200-5419Fax: (360) 200-6736
Registry dates
- Enumerated
- 2013-12-06
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is R Russ's NPI number?
- R Russ's National Provider Identifier (NPI) is 1023449634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is R Russ's specialty?
- R Russ is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is R Russ located?
- R Russ's practice location on file with NPPES is 1548 River Rd Unit 105, Longview, WA 98632-3293.
- What is R Russ's phone number?
- The practice phone number listed in the NPPES registry for R Russ is (520) 260-4584.
- Does R Russ accept Medicare?
- R Russ is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is R Russ's NPI active?
- Yes — R Russ's NPI (1023449634) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.