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

Russell E Hogan, PHD

Individual provider Clinical Psychologist · NPI 1760455422

Russell E Hogan, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
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

700 3 Mile Rd NW
Grand Rapids, MI 49544-8220
Phone: (616) 942-8060
Fax: (616) 942-6690
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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 6301005419 (MI)

Record details

NPI number1760455422
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address700 3 Mile Rd Nw, Grand Rapids, MI 49544-8220

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