MR. PAUL A RUSSELL (NPI# 1871887372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871887372 |
| Entity Type | Individual |
| Full Name | MR. PAUL A RUSSELL |
| Credential | LPC |
| Practice Address |
4413 Corunna Rd Flint MI 48532 |
| Practice Telephone | 8106301152 |
| Practice Fax Number | 8106309107 |
| Mailing Telephone | 8106301152 |
| Mailing Fax Number | 8106309107 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2013-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401012403 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548674088 | Paul Russell | Social Worker | 10330 Brookside Dr, Perrysburg, OH 43551-7224 | 2014-06-12 |
| 1124436670 | Paul Eugene Russell | Physician Assistant | 1401 State School Rd, Gatesville, TX 76599-0001 | 2014-07-29 |
| 1538303904 | Paul Russell | Dentist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2009-04-28 |
| 1437229218 | Paul R. Russell | Family Medicine | 626 N Mullan Rd, Spokane Valley, WA 99206-3861 | 2006-11-08 |
| 1699862714 | Paul Russell | Otolaryngology | 3601 Tvc, Nashville, TN 37232-0001 | 2006-10-09 |
| 1811911688 | Paul A Russell | Specialist | 2278 Albert Pike Rd Ste B, Hot Springs, AR 71913-4157 | 2006-07-26 |
| 1154352706 | Paul Joseph Russell | Pediatrics | 190 Campus Blvd, Suite 400, Winchester, VA 22601-2872 | 2006-07-05 |
| 1578553038 | Paul Snowden Russell | Surgery | 55 Fruit St, Boston, MA 02114-2696 | 2005-10-26 |
| Street Address |
4413 CORUNNA RD |
| City | FLINT |
| State | MI |
| Zip Code | 48532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043244411 | Nikhil K Vora | Psychiatry & Neurology | 4413 Corunna Rd, Flint, MI 48532 | 2006-07-10 |
| 1164988473 | Cassandra Bouchard | Social Worker | 4413 Corunna Rd, Flint, MI 48532-4321 | 2019-02-12 |
| 1326522483 | Pamela Sue Hyles | Social Worker | 4413 Corunna Rd, Flint, MI 48532-4321 | 2018-09-24 |
| 1447753215 | Brent A Hughes | Social Worker | 4413 Corunna Rd, Flint, MI 48532-4321 | 2018-03-17 |
| 1437685856 | Independent Behavioral Health Group | Psychiatry & Neurology | 4413 Corunna Rd, Flint, MI 48532-4321 | 2017-05-04 |
| 1659787919 | Krupa Vora | Counselor | 4413 Corunna Rd, Flint, MI 48532-4321 | 2014-07-08 |
| 1871930453 | Gayle Marie Osterberg | Psychologist | 4413 Corunna Rd, Flint, MI 48532 | 2013-05-23 |
| 1841522570 | Earl E Hocquard | Psychologist | 4413 Corunna Rd, Flint, MI 48532 | 2010-02-05 |
| 1235269200 | Erin M Mcclelland | Counselor | 4413 Corunna Rd, Flint, MI 48532 | 2007-03-07 |
| 1417029778 | Cheryl L Gaspar | Counselor | 4413 Corunna Rd, Flint, MI 48532 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821457 | Jessica Hush | Counselor | 517 E 5th Ave, Flint, MI 48503-1541 | 2020-08-11 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1396300463 | Giving Hope LLC | Counselor | 4058 N Linden Rd Ste D, Flint, MI 48504-1381 | 2019-05-04 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1154772192 | Ramona Moye | Counselor | 2039 Burr Blvd, Flint, MI 48503-4209 | 2016-06-30 |
| 1629471198 | Tiffany Pritchett | Counselor | 2542 Orchard Ln, Flint, MI 48504-4537 | 2014-09-29 |
| 1013357896 | Gina L'or'eal Berry | Counselor | 420 W. Fifth Ave., Flint, MI 48503 | 2013-06-26 |
| 1174886907 | Patricia Marie Ritz | Counselor | 5406 Gateway Ctr, Ste A, Flint, MI 48507-3900 | 2012-06-18 |
| 1558628388 | Krystin Sankey | Counselor | 4520 Linden Creek Pkwy Ste B, Flint, MI 48507-2969 | 2012-04-18 |
| 1386929925 | New Sunrise Day Care LLC | Counselor | 3497 W Pasadena Ave, Flint, MI 48504-2331 | 2011-10-14 |
| Find all providers in FLINT | ||||
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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.