Andrea A. Russell, PH.D.
NPI 1013059526ActiveIndividual· Technician, Other, EEG· Tucson, AZ
Technician, Other, EEG (PH.D.) in Tucson, Arizona, licensed in AZ, with an NPI issued in February 2007.
Overview
| NPI | 1013059526 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Feb 12, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Other, EEG Primary | 2472E0500X | AZ LPC 1342 | AZ |
| Psychologist, Adult Development & Aging | 103TA0700X | AZ LPC 1342 | AZ |
| Psychologist, Cognitive & Behavioral | 103TB0200X | AZ LPC 1342 | AZ |
| Psychologist, Clinical | 103TC0700X | AZ LPC 1342 | AZ |
| Psychologist, Counseling | 103TC1900X | AZ LPC 1342 | AZ |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | AZ LPC 1342 | AZ |
| Psychologist, Family | 103TF0000X | AZ LPC 1342 | AZ |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | AZ LPC 1342 | AZ |
| Psychologist | 103T00000X | AZ LPC 1342 | AZ |
| Psychologist, Group Psychotherapy | 103TP2701X | AZ LPC 1342 | AZ |
| Specialist/Technologist, Other, EEG | 246ZE0500X | AZ LPC 1342 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Technician, Other, EEG providers in Tucson
- 1497380877