Courtney Elizabeth Russell, PSYD, BCBA
NPI 1114621737ActiveIndividual· Psychologist, Clinical· Edwards, CO
Opted out of Medicare from August 2024 to August 2028. Psychologist, Clinical (PSYD, BCBA) in Edwards, Colorado, licensed in CO, with an NPI issued in March 2023.
Overview
| NPI | 1114621737 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, BCBA |
| Sole proprietor | No |
| NPI issued | Mar 28, 2023 |
| Last updated in NPPES | Jun 13, 2023 |
| Certified by provider | Jun 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSYC.00015020 | CO |
| Behavior Analyst | 103K00000X | 1-21-51634 | CO |
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 |
|---|---|
| Opt-out | Opted out Aug 12, 2024 – Aug 12, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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