Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOT W. RUSSELL, PH.D.
DeactivatedDR. SCOT W. RUSSELL, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in SOUTH SAN FRANCISCO, California. NPI 1407858988 is deactivated in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · SOUTH SAN FRANCISCO, CA
This NPI has been deactivated.
The record was deactivated on March 22, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1407858988
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2005 (0.6 yrs)
- Last Updated
- May 12, 2009
- Deactivated
- Mar 22, 2006
- Licenses
-
1140332501 (UT)PSY 22480 (CA)
Practice Information
- Address
-
1200 EL CAMINO REALSOUTH SAN FRANCISCO, CA, 94080Browse CA providers · Browse ZIP 94080
- Phone
- 6507423841
- Fax
- 6507422591
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Cognitive & Behavioral Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.