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

Matthew Russell, PHD

Individual provider Clinical Psychologist · NPI 1487203485

Matthew Russell, PHD is a Clinical Psychologist in Skokie, Illinois. Qualified in 2018, 8 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Texas.

Years since qualifying
8
Licensed in
IL, TX
In the registry since
2019
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.

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Practice location Address checks out

9600 Gross Point Rd Ste 1200
Skokie, IL 60076-1214
Phone: (847) 909-5445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071021089 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 38283 (TX)

Record details

NPI number1487203485
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 11, 2019
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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