Mr. Russell W Dern

PH.D | Clinical Psychologist | 42+ years Exp


  975 Kingsivew Drive, Bldg A, Lebanon
     Ohio, 45036-9562
  513-228-7800    513-228-7846 Maps & Directions
Mr. Russell W Dern is a Lebanon, Ohio based psychologist with 42 years of experience in Clinical Psychology. He completed his graduation in 1982. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Russell W Dern is 3444 for Clinical Psychology in Ohio. His current practice location is 975 Kingsivew Drive, Bldg A, Lebanon. Patients can reach him at 513-228-7800 or can fax him at 513-228-7846. Mr. Russell W Dern is PH.D in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1568438497.
Mr. Russell W Dern is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Mr. Russell W Dern speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Russell W Dern
Specialization: Clinical Psychology
Gender:Male
Credentials: PH.D
Experience: 42+ years
Medical School Attended:Other
Graduation Year:1982
Accepts Medicare Assignment:Yes
Practice Address:975 Kingsivew Drive, Bldg A, Lebanon,
Ohio, 45036-9562
Phone:513-228-7800
Fax:513-228-7846
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7719882612
Enrollment ID: I20040804000071
NPI Number: 1568438497
NPI Enumeration Date: 28 Feb, 2006
NPI Last Update On: 22 May, 2018

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Russell W Dern are as mentioned below.
License NumberSpecializationStateStatus
3444Clinical Psychology OhioPrimary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. Russell W Dern is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Community Mental Health Centers Of Warren County, Inc (0446155337)7
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Russell W Dern such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
11489916OtherOhioCAQH
0630884MedicaidOhio
000000012343OtherOhioANTHEM PIN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Russell W Dern
204 Cook Rd, Suite 400
Lebanon, Ohio
Zip: 45036-9600
Phone Number: 513-228-7800
Fax Number: 513-725-2231
Patients can reach Mr. Russell W Dern at 975 Kingsivew Drive, Bldg A, Lebanon, Ohio or can call to book an appointment on 513-228-7800.
Comments/ Reviews:

*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.