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

Dr. David Lee Russell, EDD

Individual provider Psychologist · NPI 1548362171

Dr. David Lee Russell, EDD is a Clinical Psychologist in Portage, Michigan. Qualified in 1989, 37 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
37
Licensed in
MI
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

8036 Moorsbridge Rd Ste #2
Portage, MI 49024-4417
Phone: (269) 327-1438
Fax: (269) 327-6454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301006163 (MI)

Record details

NPI number1548362171
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorNo
NPI enumeratedSeptember 3, 2006
Last updated in NPPESFebruary 8, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Portage