Russell Mccann
NPI 1053566109 · Clinical Psychologist · Boise, ID
Enrolled with Medicare as Order and Referring Only - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russell Mccann is a Clinical Psychologist provider in Boise, ID (NPI 1053566109).
Provider details
- NPI number
- 1053566109
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PY60317242 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-17
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Frequently asked questions
- What is Russell Mccann's NPI number?
- Russell Mccann's National Provider Identifier (NPI) is 1053566109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Mccann's specialty?
- Russell Mccann is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Russell Mccann located?
- Russell Mccann's practice location on file with NPPES is 444 W Fort St Fl 2, Boise, ID 83702-4535.
- What is Russell Mccann's phone number?
- The practice phone number listed in the NPPES registry for Russell Mccann is (208) 422-1018.
- Does Russell Mccann accept Medicare?
- Russell Mccann is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Russell Mccann's NPI active?
- Yes — Russell Mccann's NPI (1053566109) is active in the NPPES registry as of the last update on 2023-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.