MR. RUSSELL ROBERT DEAN (NPI# 1023346590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023346590 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL ROBERT DEAN |
| Credential | M.S., LMHC |
| Practice Address |
405 Mackenzie Cir Saint Augustine FL 32092-3434 |
| Practice Telephone | 9045450759 |
| Mailing Telephone | 9045450759 |
| Enumeration Date | 2009-11-22 |
| Last Update Date | 2009-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH5113 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679680094 | Russell Martin Dean | Counselor | 2701 Burchill Rd N, Ft Worth, TX 76105-3012 | 2006-08-23 |
| Street Address |
405 MACKENZIE CIR |
| City | SAINT AUGUSTINE |
| State | FL |
| Zip Code | 32092-3434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266928 | Jacqueline Dougherty | Counselor | 4475 Us Highway 1 S Ste 608, Saint Augustine, FL 32086-7282 | 2019-03-31 |
| 1861990723 | Douglass Adrien Lobo | Counselor | 4924 Medoras Ave, Saint Augustine, FL 32080-7170 | 2018-01-25 |
| 1124487947 | Stephanie Strole | Counselor | 340 Paseo Reyes Dr, Saint Augustine, FL 32095-8464 | 2016-02-22 |
| 1215340609 | Shannon Cline | Counselor | 1420 Tintern Ln, Saint Augustine, FL 32092-1025 | 2014-06-04 |
| 1427322924 | Lauren Elizabeth Wood | Counselor | 495 Prosperity Lake Dr Ste 101, Saint Augustine, FL 32092-5045 | 2012-03-01 |
| 1366749574 | Kellian L Klipstine | Counselor | 344 Paseo Reyes Drive, Saint Augustine, FL 32095-8464 | 2011-02-24 |
| 1023246030 | Lisa Britt | Counselor | 157 Hampton Point Dr Ste 1, Saint Augustine, FL 32092-3054 | 2009-06-29 |
| 1639233026 | Carolyn Moldovanyi | Counselor | 52 Tuscan Way Ste 202, Saint Augustine, FL 32092 | 2006-12-20 |
| 1104916428 | Stephen William Henneka | Counselor | 1100 S Ponce De Leon Blvd Ste 1, Saint Augustine, FL 32084-6013 | 2006-10-15 |
| 1720618432 | Myralynn H Vaughn | Counselor | 248 Southpark Cir E, Saint Augustine, FL 32086-5137 | 2020-01-22 |
| Find all providers in SAINT AUGUSTINE | ||||
| City | SAINT AUGUSTINE |
| Zip Code | 32092 |
Please comment or provide details below to improve the information on MR. RUSSELL ROBERT DEAN.
| 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.