DR. RUSSELL M BRAGG JR. (NPI# 1558442152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558442152 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL M BRAGG JR. |
| Credential | PHD |
| Practice Address |
9840 Kingston Farm Rd Ne Kingston WA 98346-8621 |
| Practice Telephone | 3605091474 |
| Mailing Telephone | 3605091474 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY00001741 | WA | Behavioral Health & Social Service Providers |
| Street Address |
9840 KINGSTON FARM RD NE |
| City | KINGSTON |
| State | WA |
| Zip Code | 98346-8621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1134592421 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 700 Alamo Pintado Road, Solvang, CA 98346 | 2015-11-09 |
| 1588000764 | Donald G Hill | Contractor | 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 | 2013-05-15 |
| 1104161900 | Marcus Dean Atkinson | Massage Therapist | 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 | 2012-12-05 |
| 1245580687 | Samantha Christine Kottke | Massage Therapist | 25960 Ohio Ave Suite 206, Kingston, WA 98346 | 2012-09-13 |
| 1265713390 | Karen Dale Friend | Pharmacist | 8196 State Highway 104, Kingston, WA 98346 | 2011-09-02 |
| 1750526323 | Megan Elizabeth Pratt | Mechanotherapist | 25925 Washington Blvd., Kingston, WA 98346 | 2008-12-10 |
| 1073787412 | Cindy Pamela Haines | Massage Therapist | 25925 Washington Boulevard Ne, Kingston, WA 98346 | 2008-04-16 |
| 1417163031 | Dian Aletha Poyssick | Pharmacist | 8196 State Route 104, Kingston, WA 98346 | 2007-05-14 |
| Find all providers in zip 98346 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003039165 | David Milton Weinberger | Psychologist | 212 Pierce St, Suite B, Kingston, PA 18704-4641 | 2007-04-10 |
| 1558488221 | Mark Hammel | Psychologist | 275 Fair St Ste 16, Kingston, NY 12401-3882 | 2007-03-26 |
| 1063546059 | Michael David Schwalberg | Psychologist | 159 Green St., Suite 1, Kingston, NY 12401-3737 | 2007-03-14 |
| 1780721605 | Marguerite A Mosack | Psychologist | 239 Schuyler Avenue, Suite 350, Kingston, PA 18704-3333 | 2007-01-31 |
| 1508918186 | Ann M Varna Garis | Psychologist | 150 Chafee Building, Kingston, RI 02881 | 2007-01-17 |
| 1255489506 | Peter Elwood Maynard | Psychologist | 347 Biscuit City Rd, Kingston, RI 02881-1604 | 2007-01-05 |
| 1700943057 | George Thornton Fitzelle | Psychologist | 13 Linden Drive, Kingston, RI 02881 | 2007-01-03 |
| 1457447427 | Albert D Jumper | Psychologist | 23 W Walnut St, Kingston, PA 18704-3800 | 2006-10-05 |
| 1790894749 | Susquehanna Counseling Group, Inc. | Psychologist | 400 Third Ave., Park Office Bldg. Suite 212, Kingston, PA 18704 | 2006-08-30 |
| 1306862354 | Robert Walter Bohlander | Psychologist | 203 Wyoming Avenue, Kingston, PA 18704 | 2006-07-14 |
| Find all providers in KINGSTON | ||||
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| 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.