RANDALL RAY MASTERSON (NPI# 1659550879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659550879 |
| Entity Type | Organization |
| Organization Name | RANDALL RAY MASTERSON |
| Other Organization Name | ASSOCIATED PSYCHOLOGISTS |
| Practice Address |
302 S Kitchell Ave Olney IL 62450-1500 |
| Practice Telephone | 6183922725 |
| Mailing Telephone | 6183922725 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | RANDALL R MASTERSON (ASSOCIATE) |
| Authorized Official Telephone | 6183922725 |
| Authorized Official Credential | M.S.C.S.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TS0200X |
Psychologist Specialization: School |
969847 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.006994 | IL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Associated Psychologists | Doing Business As Name - Organization |
| Street Address |
302 S KITCHELL AVE |
| City | OLNEY |
| State | IL |
| Zip Code | 62450-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619943784 | Jack A Cole | Psychologist | 302 S Kitchell Ave, Olney, IL 62450-1500 | 2006-02-27 |
| 1679007603 | Living Well Counseling and Therapy Solutions | Community/Behavioral Health | 302 S Kitchell Ave, Suite B, Olney, IL 62450-1500 | 2017-04-17 |
| 1790105617 | Colwell Counseling & Consulting Services, Inc. | Preferred Provider Organization | 302 S Kitchell Ave, Suite A, Olney, IL 62450-1500 | 2014-04-17 |
| 1790056489 | Randall Ray Masterson | Psychologist | 302 S Kitchell Ave, Suite A, Olney, IL 62450-1500 | 2012-01-26 |
| 1811186919 | Cheryl Colwell | Counselor | 302 S Kitchell Ave, Suite A, Olney, IL 62450-1500 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530091 | Donna Harris | Counselor | 515 West St. John Street, Olney, IL 62450 | 2009-02-11 |
| 1942476908 | Christa Dawn Jennette | Private Vehicle | 1113 Keiffer Dr, Olney, IL 62450 | 2008-04-30 |
| 1942491162 | Marion County Horizon Center D/b/a Richland Manor | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1066 West Main St, Olney, IL 62450 | 2007-08-05 |
| 1811100407 | Advanced Open Mri, Inc. | Clinic/Center | 605 East Main Street, Olney, IL 62450 | 2007-05-08 |
| 1548489958 | Frank Edward Gruber | Dentist | 1108 N East St, Olney, IL 62450 | 2007-04-24 |
| 1508084591 | Melvin Borja Escalona | Physical Therapist | 800 East Locust St., Olney, IL 62450 | 2007-04-23 |
| 1881769826 | Jeffrey Alan Kocher | Chiropractor | 731 S West St, Olney, IL 62450 | 2006-11-22 |
| 1336211523 | Patricia Lynn Kessler Bookhout | Dentist | 1104 North East, Olney, IL 62450 | 2006-11-14 |
| 1639159015 | Bowers Drug Store Inc | Pharmacy | 205 E Main, Olney, IL 62450 | 2006-01-20 |
| 1336137199 | South Eastern Illinois Counseling Center Inc | Counselor | 504 Micah Drive, Drawer M, Olney, IL 62450 | 2005-10-06 |
| Find all providers in zip 62450 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326429879 | Sharon Renee Thomas | Psychologist | 18227 Fox Chase Cir, Olney, MD 20832-3003 | 2015-06-10 |
| 1063566503 | Charles Robert Cherry Jr. | Psychologist | Suite 128 18111 Prince Philip Dr, Olney, MD 20832 | 2007-01-22 |
| 1619943784 | Jack A Cole | Psychologist | 302 S Kitchell Ave, Olney, IL 62450-1500 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.