Russell W Dern (NPI# 1568438497, PAC ID# 7719882612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1568438497 |
| PAC ID by PECOS | 7719882612 |
| Professional Enrollment ID | I20040804000071 |
| Full Name | Russell W Dern |
| Organization Legal Name | COMMUNITY MENTAL HEALTH CENTERS OF WARREN COUNTY, INC |
| Address |
204 Cook Rd Lebanon OH 45036-9600 |
| Phone Number | 5139321119 |
| Gender | M |
| Credential | CP |
| Graduation Year | 1982 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 0446155337 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 204 Cook Rd, Lebanon, OH 45036-9600 | 5139321119 | COMMUNITY MENTAL HEALTH CENTERS OF WARREN COUNTY, INC |
| Organization Legal Name | COMMUNITY MENTAL HEALTH CENTERS OF WARREN COUNTY, INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca L Baker | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 50 Greenwood Lane, Springboro, OH 45066-3033 |
| Alicia A Johnson | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 975 Kingsview Dr A, Lebanon, OH 45036-9562 |
| Colleen A Mcclanahan | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 975 Kingsview Dr B, Lebanon, OH 45036-9562 |
| Lauren L Mente | Nurse Practitioner | Community Mental Health Centers of Warren County, Inc | 953 S S St, Wilmington, OH 45177-2921 |
| Mary Ann Rose | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Steven R Rosen | Psychiatry | Community Mental Health Centers of Warren County, Inc | 975 Kingsview Dr B, Lebanon, OH 45036-9562 |
| James L Roe Iii | Nurse Practitioner | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Diana M Uthenwoldt | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Trina K Slaughter | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Jaime M Adleta | Nurse Practitioner | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Street Address |
204 COOK RD |
| City | LEBANON |
| State | OH |
| Zip | 45036-9600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Ann Rose | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| James L Roe Iii | Nurse Practitioner | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Diana M Uthenwoldt | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Trina K Slaughter | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Jaime M Adleta | Nurse Practitioner | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Stewart M Harris Jr. | Psychiatry | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Lucas G Barton | Psychiatry | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Elise N Shelton | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Christine Charlton | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Michelle L Box | Clinical Social Worker | Community Mental Health Centers of Warren County, Inc | 204 Cook Rd, Lebanon, OH 45036-9600 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Juszczyk | Chiropractic | 849 N Broadway, Lebanon, OH 45036 | |
| Tony Dejtiranukul | Chiropractic | 990 Belvedere Dr B, Lebanon, OH 45036-1193 | |
| Charles Horsley | Family Medicine | 1470 N Broadway, Suite 110, Lebanon, OH 45036-1206 | |
| Charles Paul Opperman | Internal Medicine | Alliance Physicians Inc | 1470 N Broadway, Lebanon, OH 45036-1206 |
| Samantha Meyer | Nurse Practitioner | Primary Care Partners of Ohio | 842 Carson Dr, Lebanon, OH 45036-1316 |
| Cheryl Ann Skinner | Family Medicine | Primary Care Partners of Ohio | 842 Carson Dr, Lebanon, OH 45036-1316 |
| Heather R Wells | Nurse Practitioner | Primary Care Partners of Ohio | 842 Carson Dr, Lebanon, OH 45036-1316 |
| Richard Shroder | Optometry | 899 N Broadway St, Lebanon, OH 45036-1361 | |
| Michael Dean Kerby | Optometry | Village Eye Care Inc | 1001 Monroe Rd, Lebanon, OH 45036-1414 |
| Melissa S Kerby | Optometry | Village Eye Care Inc | 1001 Monroe Rd, Lebanon, OH 45036-1414 |
| Find all physicians in zip 45036 | |||
| City | LEBANON |
| Zip Code | 45036 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LEBANON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Russell W Dern.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.