R Russ, PH.D., SUDP
NPI 1023449634ActiveIndividual· Psychologist· Longview, WA
Psychologist (PH.D., SUDP) with Total Life Inc, practicing in Longview, Washington. Medicare paid $43,890 for services to 43 patients in 2024.
Overview
| NPI | 1023449634 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D., SUDP |
| Sole proprietor | No |
| NPI issued | Dec 6, 2013 |
| Last updated in NPPES | May 12, 2025 |
| Certified by provider | May 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY60373444 | WA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CP00000957 | WA |
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) | Enrolled Practitioner - Clinical Psychologist (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 342 across 3 procedure codes |
| Paid by Medicare | $43,890 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Total Life IncPhoenix, AZ · 113 clinicians
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