DR. PETER ROBERT RUSSELL


Address: 10420 El Camino Real, Atascadero, CA 93422-6882
Phone: 8054665641

DR. PETER ROBERT RUSSELL (NPI# 1174540645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174540645
Entity Type Individual
Full Name DR. PETER ROBERT RUSSELL
Credential PH D
Practice Address 10420 El Camino Real
Atascadero
CA 93422-6882
Practice Telephone 8054665641
Practice Fax Number 8054662989
Mailing Telephone 8054665641
Mailing Fax Number 8054662989
Enumeration Date 2006-07-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103G00000X Clinical Neuropsychologist PSY 5273 CA Behavioral Health & Social Service Providers
X 103T00000X Psychologist PSY 5273 CA Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
PSY 5273 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA QME 002356 01

Other Providers PETER RUSSELL

NPI Name Taxonomy Address Enumeration
1770740631 Peter Christian Russell Psychologist 9500 Gilman Dr # Mc0304, Ucsd Counseling & Psychological Srvs, La Jolla, CA 92093-5004 2008-05-19
1346386489 Peter Ward Russell Licensed Practical Nurse 12 Petra Lane, Albany, NY 12205 2007-01-29
1972555415 Peter L. Russell Family Medicine 830 Prairie Center Dr, Eden Prairie, MN 55344-7301 2006-05-16

Office Location

Street Address 10420 EL CAMINO REAL
City ATASCADERO
State CA
Zip Code 93422-6882

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043435977 Joan Sandberg Psychologist 10420 El Camino Real, Suite 4, Atascadero, CA 93422-6882 2007-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356903645 Michael E Nevin Licensed Psychiatric Technician 6550 Morro Rd, Unit D, Atascadero, CA 93422 2019-07-08
1225495583 Kelly Michelle Morrow Counselor 7130 Sombrilla Ave., Atascadero, CA 93422 2016-01-18
1609242817 Cheyenne M Britton Counselor 9366 Ribereng Circle, Atascadero, CA 93422 2015-08-12
1033590856 Debra Marie Califia Counselor 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 2015-06-17
1134548498 Allison Muller Counselor 8000 Santa Rosa Road, Atascadero, CA 93422 2014-04-15
1376973875 Jana Slezakova Psychologist 10333 El Camino Real Dept Of, Atascadero, CA 93422 2013-11-19
1013341189 Kimberly L Schwab Counselor 5575 Hospital Dr., Atascadero, CA 93422 2013-08-26
1982941274 Krisitana Lynn Hatcher Miller Counselor 6312 Atascadero Ave, Atascadero, CA 93422 2013-01-07
1588939995 Else Mai Thi Curry Counselor 4000 Santa Cruz Rd, Atascadero, CA 93422 2012-03-19
1083987523 Kathryn Gaoiran Bartlett Pharmacist 8200 El Camino Real, Atascadero, CA 93422 2012-02-14
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497791743 Karen Sue Sheppard Clinical Neuropsychologist 10333 El Camino Real, Atascadero, CA 93423-7001 2006-06-22
1275585002 Leslie Joe Bolin Clinical Neuropsychologist 10333 El Camino Real, Atascadero, CA 93422 2006-05-17
1407808280 Charles P Broderick Clinical Neuropsychologist 10333 El Camino Real, Atascadero, CA 93423-7001 2006-05-17
1578515730 Christine Marie Mathiesen Clinical Neuropsychologist 10333 El Camino Real, Atascadero, CA 93423-7001 2006-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407455108 Chelsea Vilinskas Clinical Neuropsychologist 2624 Larkey Ln, Walnut Creek, CA 94597-2439 2020-10-22
1417554049 Andrea Alioto Clinical Neuropsychologist 247 San Carlos Ave, Redwood City, CA 94061-3518 2020-10-06
1265045975 Well Psychology, Inc. Clinical Neuropsychologist 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 2020-08-24
1922618917 Alyssa Weakley Clinical Neuropsychologist Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 2020-08-04
1437767399 Ni Sun-suslow Clinical Neuropsychologist 220 Dickinson St # B, San Diego, CA 92103-2071 2020-07-16
1366061707 Talia Rose Seider Clinical Neuropsychologist 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 2020-04-15
1699394270 Colin Jarred Gallagher Clinical Neuropsychologist 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 2020-04-13
1649807058 Nicholas S. Thaler Phd A Psychological Corporation Clinical Neuropsychologist 1526 14th St Ste 109, Santa Monica, CA 90404-3320 2020-03-25
1447890116 Hussah Alkharafi Clinical Neuropsychologist 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 2020-01-10
1609414788 Linda Rice Clinical Neuropsychologist 617 Bluegrass St, Simi Valley, CA 93065-5460 2019-12-19
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Competitor

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City ATASCADERO
Zip Code 93422

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Dataset Information

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.

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