DR. ROGER A RUSSELL (PHD) – Psychologist, NPI 1396746947

DR. ROGER A RUSSELL (PHD) is a healthcare provider. based in Abilene, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2-2996 (TX). The NPI Number for DR. ROGER A RUSSELL (PHD) is 1396746947

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROGER A RUSSELL (PHD)
NPI
1396746947
Phone
(325) 672-8883
Address
1049 N 3RD ST
Enumeration Date
4 August 2005
Last Update Date
19 January 2012

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
3254371001
Graduation Year
1983 (43 years ago)
PAC ID
6709944408
Professional Enrollment ID
I20081024000343
Address ID
TX796021477AB500XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for DR. ROGER A RUSSELL (PHD)

  • 1049, North 3rd Street, Abilene, Taylor County, Texas, 79601, United States

    STE 505

    ABILENE, TX 796015833

    Phone: (325) 672-8883

    Fax: (325) 675-5833

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081024000343IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79601)

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Reviews

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Frequently asked questions

Does DR. ROGER A RUSSELL (PHD) have a public NPI I can cite?
Public records show DR. ROGER A RUSSELL (PHD) under NPI 1396746947.
Is DR. ROGER A RUSSELL (PHD)'s NPI status active today?
Active status means DR. ROGER A RUSSELL (PHD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. ROGER A RUSSELL (PHD)'s specialty?
The extract shows Psychologist for DR. ROGER A RUSSELL (PHD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. ROGER A RUSSELL (PHD) in Abilene, Texas?
For routing, start with Abilene, Texas for DR. ROGER A RUSSELL (PHD), then verify phone and hours locally.
Why is information missing for DR. ROGER A RUSSELL (PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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