Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023449634 Individual Practitioner Male Practitioner

Dr. R Russ , PhD, SUDP

Psychologist • Longview, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. R Russ, PhD, SUDP is a certified Psychologist practicing in Longview, WA. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Russ delivers high-quality medical care to the local community at 1548 RIVER RD UNIT 105.

Dr. Russ is affiliated with Total Life Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1548 River Rd Unit 105

Longview, WA 986323293

Telephone 5202604584
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Longview, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -6.3 yrs vs City Avg
City Avg: 21.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Longview, WA (1137 Statewide)

Telehealth Adoption Rate
30.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
41.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Russ (15 Years) 15 Yrs
Longview Specialty Average (21.3 Years) 21.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
300 39 $270.00 $161.45
90791 Psychiatric diagnostic evaluation
38 38 $320.00 $183.21

Medical Specialties & State Licenses

CMS Verified: 2025-05-12
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WA PY60373444

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WA CP00000957

Definition to come...

Hospital & Practice Group Affiliations

Total Life Inc

1400 112th Ave Se, Bellevue, WA 980046901

Phone: 8005675433

Secondary Practice Locations

748 14th Ave

Longview, WA 986322315

Phone: 3602005419

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 12, 2025

Registered at 1548 RIVER RD UNIT 105, LONGVIEW, WA 986323293 (Tel: 5202604584)

📍
Updated Practice Location November 12, 2021

Registered at 748 14TH AVE, LONGVIEW, WA 986322315 (Tel: 3602005419)

📍
Updated Business Mailing Address November 12, 2021

Registered at PO BOX 2394, LONGVIEW, WA 986328455 (Tel: 3602005419)

👤
Provider Name / Credentials Updated November 12, 2021

Recorded as R RUSS, PH.D., SUDP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2021

Counselor (License #CP00000957 in WA)

NPI Profile Active December 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2013

Registered at 1650 E FORT LOWELL RD, STE 202, TUCSON, AZ 857192374 (Tel: 5203274505)

📍
Updated Business Mailing Address December 06, 2013

Registered at 630 N ALVERNON WAY, STE 161, TUCSON, AZ 857111843 (Tel: 5203274505)

👤
Provider Name / Credentials Updated December 06, 2013

Recorded as R RUSS, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2013

Psychologist (License #4380 in AZ)

🟢
Initial NPI Registration & Enumeration December 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. R Russ. Be the first to share your experience!

Sign in to leave a review for Dr. R Russ

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1023449634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2013
Last Update: May 12, 2025
Sole Proprietor: No

Mailing Address

Po Box 2394

Longview, WA 986328455

Phone: 3602005419

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.