Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrea M Russell, PHD

Individual provider Psychologist · NPI 1851079024

Dr. Andrea M Russell, PHD is a Clinical Psychologist in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2023
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

675 N Saint Clair St Fl 18
Chicago, IL 60611-5975
Phone: (312) 695-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 675 N Saint Clair St Fl 13, Chicago, IL 60611-5975 — (312) 926-8200

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.011112 (IL)
Psychologist Taxonomy 103T00000X
Psychologist Taxonomy 103T00000X · Licence 071011112 (IL)

Record details

NPI number1851079024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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