DR. JOHN L RANDOLPH (NPI# 1750481214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750481214 |
| Entity Type | Individual |
| Full Name | DR. JOHN L RANDOLPH |
| Credential | ED.D. |
| Practice Address |
43 Starbird St. Malden MA 02148-2835 |
| Mailing Address |
150 S Huntington Ave Boston Vamc Boston MA 02130-4817 |
| Practice Telephone | 7813216424 |
| Mailing Telephone | 8573643626 |
| Mailing Fax Number | 8573644484 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3875 | MA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
3875 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871656900 | John T Randolph | Chiropractor | 10223 Broadway St Ste C, Pearland, TX 77584-7881 | 2006-12-19 |
| 1750389482 | John Franklin Randolph | Family Medicine | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2005-07-07 |
| 1700881463 | John James Randolph | Clinical Neuropsychologist | 20 W Park St, Ste 215, Lebanon, NH 03766-1378 | 2005-06-17 |
| 1689677882 | John Randolph | Family Medicine | 105 Liberty Blvd, Liberty, SC 29657-1641 | 2005-05-23 |
| 1427286491 | John Taylor Randolph | Counselor | 605 W Oxford Ave, Enid, OK 73701-1208 | 2009-06-29 |
| 1619122264 | John S Randolph | Dentist | 11121 Health Park Blvd, Suite 200, Naples, FL 34110-5739 | 2008-11-24 |
| 1225296577 | John Whitney Randolph | Emergency Medicine | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2008-05-22 |
| 1164621330 | John Carlton Randolph | Ophthalmology | 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880-3914 | 2007-07-17 |
| 1174610943 | John F Randolph Jr. | Obstetrics & Gynecology | 475 Market Place, Bldg One, Ann Arbor, MI 48108-1649 | 2006-10-05 |
| 1629065636 | John D Randolph | Surgery | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2005-10-04 |
| Street Address |
43 STARBIRD ST. |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
| Find all providers in zip 02148 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093183501 | Taylor L Andromidas | Psychologist | 10 Overlook Ridge Dr Unit 537, Malden, MA 02148-4768 | 2015-09-14 |
| 1649680109 | Trevor H. Barese | Psychologist | 89 Summer St, Malden, MA 02148-2523 | 2014-05-05 |
| 1184150104 | Jennifer Brownstein | Psychologist | 195 Canal St, Malden, MA 02148-6701 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
| 1114524337 | T Psychological Services Professional LLC | Psychologist | 305 Avalon Dr, Bedford, MA 01730-2067 | 2020-10-01 |
| 1235746934 | Alexandra R Nelson Phd | Psychologist | 46 Gerald Rd, Milton, MA 02186-4769 | 2020-09-26 |
| 1396359154 | Theresa Mary Brasier | Psychologist | 25 Birch St Ste A, Milford, MA 01757-3585 | 2020-08-31 |
| 1154934685 | David S Sugarbaker | Psychologist | 1015 Brook Rd, Milton, MA 02186-4114 | 2020-08-25 |
| 1114537131 | Annemarie Baldauf, Psyd, Pllc | Psychologist | 49 Hancock St Ste 104, Cambridge, MA 02139-3188 | 2020-08-04 |
| 1801406103 | Barbara Kellogg Gannon | Psychologist | 30 Western Ave Ste 209, Gloucester, MA 01930-3664 | 2020-08-03 |
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
| 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.