John K. Russell, Ph.D. A Psychological Corporation

LBN: John K. Russell, Ph.D. A Psychological Corporation
John K. Russell, Ph.D. A Psychological Corporation is an health care organization with primary practice located at 1945 Palo Verde Avenue Suite 202, Long Beach CA 90815-3445. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. John K. Russell, Ph.D. A Psychological Corporation can be contacted via phone (562) 799-3333, or through Russell, John Kenneth via phone (562) 799-3333.

Contact Information

Primary practice address
1945 Palo Verde Avenue Suite 202 Long Beach CA 90815-3445
Fax: (562) 799-3355
Website:
Authorized official contact:
Name: Russell, John Kenneth PH.D

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY4430 California

Profile Details

NPI number 1851711881
LBN Legal business name John K. Russell, Ph.D. A Psychological Corporation
DBA Doing business as
Authorized official Russell, John Kenneth PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2014
Last updated Apr 17th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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