DR. STEPHEN FORREST RUSSELL (NPI# 1164477220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164477220 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN FORREST RUSSELL |
| Credential | PHD |
| Practice Address |
4700 N. Habana Ave. Suite 300 Tampa FL 33614-7160 |
| Practice Telephone | 8138700392 |
| Practice Fax Number | 8138716305 |
| Mailing Telephone | 8138700392 |
| Mailing Fax Number | 8138716305 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0003453 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS GRP | 39977 | 01 |
| FL | BCBS | 73684 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376935528 | Stephen Maurice Russell | Pathology | 3391 Nw Panorama Dr, Bend, OR 97701-5461 | 2015-02-25 |
| 1750398426 | Stephen Dickinson Russell Jr. | Dentist | 2006 Caton Way Sw, Olympia, WA 98502-1119 | 2006-08-02 |
| 1093729220 | Stephen Russell | Neurological Surgery | 462 1st Ave # Nb7s-4, New York, NY 10016-9196 | 2006-07-27 |
| 1689149239 | Stephen Ken Russell | Nurse Practitioner | 5005 N Piedras St, El Paso, TX 79920 | 2018-10-10 |
| 1225550676 | Stephen Russell | Social Worker | 1 Greystone Rd, Carlisle, PA 17013-2660 | 2017-07-07 |
| 1043741259 | Stephen Russell | Internal Medicine | 72 E Concord St, Evans 124, Boston, MA 02118-2307 | 2017-03-21 |
| 1093059974 | Stephen Trey Russell | Counselor | 1849 Lamar Ave Ste 120, Paris, TX 75460-1463 | 2012-11-16 |
| 1902939572 | Stephen Reed Russell | Psychologist | 154 Medical Park Loop, Sylva, NC 28779-5222 | 2007-03-13 |
| 1942363379 | Stephen A Russell | Emergency Medicine | 211 E Blount Ave, Suite 507, Knoxville, TN 37920-1614 | 2006-12-18 |
| 1760552095 | Stephen Beck Russell | Pharmacist | 515 W Mayfield Rd, Suite 101, Arlington, TX 76014-2083 | 2006-11-08 |
| Street Address |
4700 N. HABANA AVE. SUITE 300 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518912997 | Gary Lee Wood | Psychologist | 4700 N. Habana Ave., Suite 300, Tampa, FL 33614-7160 | 2006-05-23 |
| 1760438428 | Patricia Alexander | Counselor | 4700 N. Habana Ave., Suite 300, Tampa, FL 33614 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1205488012 | Kimberly Hubinger | Psychologist | 3825 Henderson Blvd Ste 505c, Tampa, FL 33629-5037 | 2019-07-11 |
| 1528537362 | Bethan Anne Roberts | Psychologist | 13000 Bruce B Downs Blvd Rm 163, Tampa, FL 33612-4745 | 2018-11-23 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1962979583 | Rosana Marzullo-dove | Psychologist | 912 W Platt St Ste 101, Tampa, FL 33606-2108 | 2018-11-01 |
| 1740764158 | Fabian Alexandro Consbruck | Psychologist | 5425 Beaumont Center Blvd Ste 918, Tampa, FL 33634-5214 | 2018-09-20 |
| 1154810802 | Lashley Marks | Psychologist | 4202 E Fowler Ave Stop Svc2124, Tampa, FL 33620-6970 | 2018-05-08 |
| 1922595305 | Carmen Ana Gonzalez-magaz | Psychologist | 836 S Davis Blvd, Tampa, FL 33606-4025 | 2018-04-20 |
| 1811494982 | Adam Zimmer | Psychologist | 4202 E Fowler Ave Shs 100, Tampa, FL 33620-6750 | 2018-04-06 |
| 1326553389 | My Psychology Place Inc. | Psychologist | 6601 Memorial Hwy Ste 310, Tampa, FL 33615-4501 | 2017-12-12 |
| Find all providers in TAMPA | ||||
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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.