IndividualActive
Samuel Russell
NPI 1639966591 · Behavior Technician · Kokomo, IN
Samuel Russell is a Behavior Technician provider in Kokomo, IN (NPI 1639966591).
Provider details
- NPI number
- 1639966591
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
1558 E Boulevard Ste a
Kokomo, IN 46902-2587
Phone: (765) 252-0530
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2025-04-23
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Frequently asked questions
- What is Samuel Russell's NPI number?
- Samuel Russell's National Provider Identifier (NPI) is 1639966591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Russell's specialty?
- Samuel Russell is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Samuel Russell located?
- Samuel Russell's practice location on file with NPPES is 1558 E Boulevard Ste a, Kokomo, IN 46902-2587.
- What is Samuel Russell's phone number?
- The practice phone number listed in the NPPES registry for Samuel Russell is (765) 252-0530.
- Is Samuel Russell's NPI active?
- Yes — Samuel Russell's NPI (1639966591) is active in the NPPES registry as of the last update on 2025-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.