DAVID LEE RUSSELL JR. (NPI# 1407234172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407234172 |
| Entity Type | Individual |
| Full Name | DAVID LEE RUSSELL JR. |
| Credential | LCDP |
| Practice Address |
60 Comstock Ave Providence RI 02907-1206 |
| Mailing Address |
60 Comstock Avenue Providence RI 02907 |
| Practice Telephone | 4016991088 |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1295024719 | David D Russell | Rehabilitation Counselor | 4410 Dillon Ln Ste 17, Corpus Christi, TX 78415-5335 | 2011-04-05 |
| 1932321700 | David Stanton Russell | Radiology | 2113 Wilshire Dr, Enid, OK 73703-6622 | 2007-05-02 |
| 1336269109 | David Lee Russell Sr. | Dentist | 14 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2007-03-29 |
| 1528196516 | David Henry Russell | Dentist | 4414 Kukui Grove St, Suite #103, Lihue, HI 96766-2016 | 2007-03-01 |
| 1386730018 | David Robert Russell | Dentist | 8334 Winter Gardens Blvd, Lakeside, CA 92040-5409 | 2006-10-04 |
| 1376551192 | David Richard Russell | Dentist | 660 Rising Sun Road, Millersburg, PA 17061 | 2006-08-04 |
| 1184654501 | David Alfred Russell | Dentist | #3 Post Office Square, Suite #900, Boston, MA 02109 | 2006-07-03 |
| 1740233162 | David Lee Russell | Family Medicine | 7 Deye Ln, Eastsound, WA 98245-8578 | 2006-05-18 |
| 1962472555 | David Christopher Russell | Chiropractor | 2239 N Prospect Ave, Milwaukee, WI 53202-6301 | 2006-01-25 |
| Street Address |
60 COMSTOCK AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02907-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
| 1104317007 | Victa LLC | Internal Medicine | 110 Elmwood Ave # A, Providence, RI 02907 | 2018-05-25 |
| 1639566987 | Southside Elementary Charter School | Local Education Agency (LEA) | 126 Somerset Street, Providence, RI 02907 | 2015-04-23 |
| 1063846558 | Achievement First Providence Mayoral Academy Charter School | Local Education Agency (LEA) | 370 Hartford Aveneue, Providence, RI 02907 | 2013-09-03 |
| 1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
| 1821218587 | Map Behavioral Health Serv. Inc. | Community/Behavioral Health | 66 Burnett Street, Providence, RI 02907 | 2007-04-26 |
| 1548336944 | Angelica Redleaf | Chiropractor | 1196 Elmwood Avenue, Providence, RI 02907 | 2006-11-28 |
| 1174619878 | Emilio Rodriguez-peris | Internal Medicine | 655 Broad Street, Suite 201, Providence, RI 02907 | 2006-10-04 |
| 1841381555 | Maged Taman | Internal Medicine | 21 Peace Street, Providence, RI 02907 | 2006-09-27 |
| 1003924226 | Gladys V Rezendes | Psychologist | 118 Comstock Avenue, Providence, RI 02907 | 2006-08-28 |
| Find all providers in zip 02907 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1952873317 | Better Care Transport LLC | Counselor | 448 Public St, Providence, RI 02907-1223 | 2018-12-26 |
| 1558755082 | Souad Cheteyan | Counselor | 315 Mount Pleasant Ave, Providence, RI 02908-3836 | 2015-03-23 |
| 1588081533 | Nicole Ann Hutto | Counselor | 20 Vandieman Ave, Providence, RI 02909-5560 | 2014-03-27 |
| 1396050597 | Daniel D Strother | Counselor | 66 Pavilion Ave., Providence, RI 02905 | 2010-08-11 |
| 1902137748 | Lux Maria Taylor | Counselor | 662 Hartford Ave, Providence, RI 02909-5917 | 2010-01-19 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1316063829 | Digna Marrero | Counselor | 16 Borinquen St, 662 Hartford Ave., Providence, RI 02905-3202 | 2007-03-22 |
| 1467554634 | George Edward Benedict | Counselor | Providence Vamc, 830 Chalkstone Avenue, Providence, RI 02908-4799 | 2006-09-01 |
| 1104847946 | The Providence Center Inc | Counselor | 528 North Main Street, Providence, RI 02904-5759 | 2006-07-21 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02907 |
Please comment or provide details below to improve the information on DAVID LEE RUSSELL JR..
| 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.