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

Dr. R Russ, PHD, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1023449634

Dr. R Russ, PHD, SUDP is a Clinical Psychologist in Longview, Washington. Qualified in 2011, 15 years ago. Practices with Total Life Inc, a 112-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
15
Licensed in
WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1548 River Rd Unit 105
Longview, WA 98632-3293
Phone: (520) 260-4584
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 748 14th Ave, Longview, WA 98632-2315 — (360) 200-5419

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY60373444 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP00000957 (WA)

Record details

NPI number1023449634
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , SUDP
Sole proprietorNo
NPI enumeratedDecember 6, 2013
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Total Life Inc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Longview