MARK STEVEN RANDALL PSYD HSPP NPI 1538161351

NPI Information

  • NPI: 1538161351
  • Provider Name: MARK STEVEN RANDALL, PSYD HSPP
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 8075 NORTH SHADELAND AVENUE
    INDIANAPOLIS, IN
    ZIP 46256
  • Phone: (317) 621-8000

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NPI Details

Mark Steven Randall, PSYD HSPP is a health service psychologist in Indianapolis, IN. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Mark Steven Randall, PSYD HSPP NPI is 1538161351. 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:

8075 NORTH SHADELAND AVENUE
INDIANAPOLIS, IN
ZIP 46256-693
Phone: (317) 621-8000

The enumeration date for this NPI number is 8/11/2005 and was last updated on 3/10/2011.

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
1103TH0100XPsychologistHealth Service20041703AINDIANAYes

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 Other Provider Identifier Issuer
1680016092OTHERINDIANARAILROAD MEDICARE
2G02887MEDICARE UPININDIANA
3200305690MEDICAIDINDIANA
4246350LMEDICARE PININDIANA

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: 11/21/2025

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