MATTHEW B RUSSELL (NPI# 1386244648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386244648 |
| Entity Type | Individual |
| Full Name | MATTHEW B RUSSELL |
| Practice Address |
4125 Temescal St Ste G Fair Oaks CA 95628-7558 |
| Practice Telephone | 9166197744 |
| Mailing Telephone | 9166197744 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | AMFT122031 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821468604 | Matthew Russell | Psychologist | 520 S Grand Ave Ste 671, Los Angeles, CA 90071-2655 | 2015-10-06 |
| 1821260084 | Matthew Scott Russell | Otolaryngology | 2233 Post St. 3rd Floor; Box 1225, University of California, San Francisco; Department Of, San Francisco, CA 94115 | 2008-03-28 |
| 1699723627 | Matthew L. Russell | Internal Medicine | 1200 Centre Street, Department of Medicine, Roslindale, MA 02131 | 2006-05-04 |
| 1740881143 | Matthew Russell | Counselor | 151 Industrial Dr, Birmingham, AL 35211-4445 | 2020-11-03 |
| 1245868090 | Matthew Russell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-28 |
| 1194352765 | Matthew David Russell | Student in an Organized Health Care Education/Training Program | 75 Francis St # Streetl1, Boston, MA 02115-6110 | 2020-03-24 |
| 1851931059 | Matthew Thomas Russell | Pharmacist | 3410 Northpark Dr, Kingwood, TX 77345-6108 | 2020-01-15 |
| 1487203485 | Matthew E.b. Russell | Psychologist | 1504 Ben Taub Loop, Houton, TX 77030 | 2019-09-11 |
| 1477045326 | Matthew David Russell | Behavioral Analyst | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-06-05 |
| 1366951394 | Matthew Cassady Russell | Physician Assistant | 3 E 101st St, New York, NY 10029-6528 | 2017-09-21 |
| Street Address |
4125 TEMESCAL ST STE G |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-7558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376162750 | Joel D Walton | Marriage & Family Therapist | 7844 Madison Ave Ste 108, Fair Oaks, CA 95628-3595 | 2020-04-15 |
| 1467001164 | Chad Fielden Marriage and Family Therapy Inc | Marriage & Family Therapist | 4944 Sunrise Blvd Ste J3, Fair Oaks, CA 95628-4941 | 2019-09-05 |
| 1407339591 | Relationship and Marriage Therapy Center: A Professional Corporation | Marriage & Family Therapist | 10235 Fair Oaks Blvd Ste 203, Fair Oaks, CA 95628-7166 | 2018-09-13 |
| 1639600851 | Jeffrey Alan Kukral | Marriage & Family Therapist | 7998 Via Roma Dr, Fair Oaks, CA 95628-5930 | 2017-03-21 |
| 1851838148 | Patty Wetsel | Marriage & Family Therapist | 8021 Sierra St, Fair Oaks, CA 95628-7530 | 2017-01-24 |
| 1790238426 | Peter Wong | Marriage & Family Therapist | 5150 Sunrise Blvd Ste H1, Fair Oaks, CA 95628-4966 | 2016-07-29 |
| 1114320371 | Diana Dicker | Marriage & Family Therapist | 5330 Primrose Dr Ste 240, Fair Oaks, CA 95628-3542 | 2014-10-02 |
| 1780093294 | Lifestar Sacramento | Marriage & Family Therapist | 8261 Greenback Ln Ste 100, Fair Oaks, CA 95628-2533 | 2014-08-08 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| 1114282035 | Phillip A Sandoval | Marriage & Family Therapist | 5152 Oak Shade Way, Fair Oaks, CA 95628-4167 | 2012-07-06 |
| Find all providers in FAIR OAKS | ||||
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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.