DR. RUSSELL ELLIS LARK (NPI# 1083872642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083872642 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL ELLIS LARK |
| Credential | PH.D. |
| Practice Address |
1200 Valley West Dr Suite 707 West Des Moines IA 50266-1908 |
| Practice Telephone | 5152221999 |
| Practice Fax Number | 5152243949 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
001057 | IA | Behavioral Health & Social Service Providers |
| Street Address |
1200 VALLEY WEST DR SUITE 707 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215919725 | Karen Rae Ahrens | Psychologist | 1200 Valley West Dr, Suite 707, West Des Moines, IA 50266-1908 | 2005-11-18 |
| 1821605684 | Peter Odegaard | Counselor | 1200 Valley West Dr, West Des Moines, IA 50266-1908 | 2020-09-25 |
| 1649828880 | L. Miller Counseling, LLC | Clinic/Center | 1200 Valley West Dr, Suite 408, West Des Moines, IA 50266-1942 | 2019-08-30 |
| 1598125544 | Barbara Petersen-fox | Social Worker | 1200 Valley West Dr, Suite 702, West Des Moines, IA 50266-1908 | 2016-03-03 |
| 1649638552 | Linda Bardole | Counselor | 1200 Valley West Dr, West Des Moines, IA 50266-1908 | 2016-02-05 |
| 1356706352 | Djuna Swope | Social Worker | 1200 Valley West Dr, #302, West Des Moines, IA 50266-1908 | 2015-12-18 |
| 1023480480 | Bill David Cunigan | Counselor | 1200 Valley West Dr, Suite 306, West Des Moines, IA 50266-1908 | 2015-10-26 |
| 1053790337 | Kelsi Macek | Marriage & Family Therapist | 1200 Valley West Dr, Suite 306, West Des Moines, IA 50266-1908 | 2015-05-20 |
| 1851781363 | Heather Dix | Counselor | 1200 Valley West Dr, Suite 704, West Des Moines, IA 50266-1908 | 2015-02-04 |
| 1043610132 | Meredith Gribble Counseling and Consulting, Pllc | Counselor | 1200 Valley West Dr, Suite 206-10, West Des Moines, IA 50266-1908 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659873727 | Willow Grove Therapy Group LLC | Psychologist | 5000 Westown Pkwy Ste 100, West Des Moines, IA 50266-5921 | 2018-03-05 |
| 1497249908 | Megan Norene Callahan | Psychologist | 5000 Westown Pkwy Ste 100, West Des Moines, IA 50266-5921 | 2018-06-18 |
| 1952743106 | Danah Barazanji | Psychologist | 3737 Woodland Ave, West Des Moines, IA 50266-1909 | 2013-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952966533 | Bridges Community Services, LLC | Psychologist | 110 Nw 2nd St, Stuart, IA 50250 | 2019-05-08 |
| 1295248326 | Kristen Nicole Sievert | Psychologist | 4720 Mortensen Rd Ste 104, Ames, IA 50014-5534 | 2017-11-11 |
| 1609320902 | Summer K. Brunscheen, LLC | Psychologist | 2515 University Blvd Ste 102, Ames, IA 50010-8628 | 2016-08-04 |
| 1235513011 | Sheila Pogge | Psychologist | 520 10th Ave Lowr Level, Coralville, IA 52241-1910 | 2015-07-12 |
| 1861814428 | Nathaniel Wade | Psychologist | 2613 Northridge Pkwy, Suite 105, Ames, IA 50010-4096 | 2014-01-15 |
| 1023367018 | Michelle Leigh Cushman | Psychologist | 431 28th St Ste 204, Des Moines, IA 50312-4400 | 2012-09-05 |
| 1548563901 | Davis Psychological Services, PC | Psychologist | 821 5th Ave, Suite 201, Grinnell, IA 50112-1653 | 2010-12-07 |
| 1104148485 | Evergreen Psychological Services | Psychologist | 313 College Ave, Oskaloosa, IA 52577-1700 | 2010-02-27 |
| 1598988024 | Eugene R Deisinger | Psychologist | 2521 Elwood Dr Ste 121, Ames, IA 50010-8229 | 2007-04-11 |
| 1992822670 | Lanaya Lynn Ethington | Psychologist | 720 S Dubuque St Ste 1, Iowa City, IA 52240-4242 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on DR. RUSSELL ELLIS LARK.
| 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.