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DR. JOHN JAMES RANDOLPH PH.D. NPI 1700881463


NPI Information

NPI: 1700881463
Provider Name: DR. JOHN JAMES RANDOLPH, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
20 W PARK ST
STE 215
LEBANON, NH
ZIP 03766
Phone: (603) 448-6779
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DR. John James Randolph, PH.D. is a clinical neuropsychologist in Lebanon, NH with 23 years of experience. 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. John James Randolph, PH.D. NPI is 1700881463. 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:

20 W PARK ST
STE 215
LEBANON, NH
ZIP 03766-378
Phone: (603) 448-6779
Fax: (603) 653-0246

The NPI 1700881463 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Neuropsychological testing evaluation by qualified health care professional, first 60 minutes (HCPCS:96132)

The enumeration date for this NPI number is 6/17/2005 and was last updated on 3/4/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist1027NEW HAMPSHIRENo
2103G00000XClinical Neuropsychologist1027NEW HAMPSHIREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100068596OTHERVERMONTBLUE CROSS BLUE SHIELD
2RE7710MEDICARE ID-TYPE UNSPECIFIED
306Y007347NH01OTHERNEW HAMPSHIREANTHEM BLUE CROSS BLUE SH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.