Challis Evelyn Russell, PSYD
NPI 1467127175ActiveIndividual· Psychologist· Myrtle Beach, SC
Psychologist (PSYD) in Myrtle Beach, South Carolina, licensed in NC and SC, with an NPI issued in August 2021.
Overview
| NPI | 1467127175 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Aug 13, 2021 |
| Last updated in NPPES | Oct 8, 2026 |
| Certified by provider | Oct 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 103730 | NC |
| Counselor, Mental Health | 101YM0800X | 22216 | NC |
| Counselor, Professional | 101YP2500X | 7920 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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