MS. RANDI MCALLISTER BLACK PHD NPI 1144328873

NPI Information

NPI: 1144328873
Provider Name: MS. RANDI MCALLISTER BLACK, PHD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
1500 E DUARTE RD
DUARTE, CA
ZIP 91010
Phone: (626) 359-8111
Get Directions

MS. Randi Mcallister Black, PHD is a child and adolescent psychiatry psychiatry neurology in Duarte, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. MS. Randi Mcallister Black, PHD NPI is 1144328873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 E DUARTE RD
DUARTE, CA
ZIP 91010
Phone: (626) 359-8111

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	PSY11499	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	PSY114990	MEDICAID	CALIFORNIA
2	R27426	MEDICARE UPIN
3	WCP11499A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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