DR. RANDALL CRAIG EPPERSON PH.D. NPI 1730272675

NPI Information

NPI: 1730272675
Provider Name: DR. RANDALL CRAIG EPPERSON, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
1601 I STREET
SUITE 440
MODESTO, CA
ZIP 95354
Phone: (209) 523-0999
Get Directions

DR. Randall Craig Epperson, PH.D. is a clinical neuropsychologist in Modesto, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Randall Craig Epperson, PH.D. NPI is 1730272675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1601 I STREET
SUITE 440
MODESTO, CA
ZIP 95354
Phone: (209) 523-0999
Fax: (209) 529-9671

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.

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	103G00000X	Clinical Neuropsychologist		PSY 8723	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	PI 00872300	MEDICARE UPIN	CALIFORNIA
2	PSY-087230	MEDICAID	CALIFORNIA
3	00PL-87230	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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