RANDOLPH BEHAVIORAL HEALTH D&M (NPI# 1861940611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861940611 |
| Entity Type | Organization |
| Organization Name | RANDOLPH BEHAVIORAL HEALTH D&M |
| Practice Address |
500 N Main St Randolph MA 02368-6700 |
| Practice Telephone | 7745267440 |
| Mailing Telephone | 7745267440 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | DAPHNE CLAUDOMIR (PRESIDENT) |
| Authorized Official Telephone | 7745267440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
500 N MAIN ST |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184075905 | Randolph Behavioral Health | Counselor | 500 N Main St, Randolph, MA 02368-6700 | 2016-06-22 |
| 1699024083 | Edwich Michel | Counselor | 500 N Main St, Randolph, MA 02368-6700 | 2012-08-31 |
| 1639443013 | V.i.p Healthcare, LLC | Health Maintenance Organization | 500 N Main St, Suite B, Randolph, MA 02368-6700 | 2012-03-01 |
| 1215227921 | Lamour Community Health Institute, Inc | Psychologist | 500 N Main St, Suite D., Randolph, MA 02368-6700 | 2011-04-14 |
| 1841597044 | Leslie Anne Savoy | Counselor | 500 N Main St, First Floor, Suite D, Randolph, MA 02368-6700 | 2011-02-24 |
| 1578865655 | Malaquias (malkes) Gomes | Counselor | 500 N Main St, Suite D, Randolph, MA 02368-6700 | 2010-11-23 |
| 1801109509 | Crystal Elaine Johnson | Psychologist | 500 N Main St, Randolph, MA 02368-6700 | 2010-07-22 |
| 1093778466 | Nurses R Us Inc. | Home Health Aide | 500 N Main St, Suite A, Randolph, MA 02368-6700 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093275638 | David Timpanaro | Community/Behavioral Health | 450 Quaker Church Rd, Randolph, NJ 07869-1373 | 2019-03-20 |
| 1780935676 | Wislinef | Community/Behavioral Health | 3 Dennis Ave, Randolph, MA 02368-1707 | 2012-10-02 |
| 1699031211 | Blessinggrouphome | Community/Behavioral Health | 9 Bossi Ave, Randolph, MA 02368-2001 | 2012-04-09 |
| 1053688507 | Excel Treatment Center | Community/Behavioral Health | 477 State Route 10 Ste 206, Randolph, NJ 07869-2147 | 2011-11-29 |
| 1811210594 | Lamour By Design, Inc | Community/Behavioral Health | 44 Diauto Dr, Randolph, MA 02368-4536 | 2010-03-09 |
| 1295804441 | North Jersey Counseling Centers for Mental and Spiritual Health | Community/Behavioral Health | 891 State Route 10, Randolph, NJ 07869-1906 | 2006-11-06 |
| 1104486539 | Step Up Family Services LLC | Community/Behavioral Health | 450 Quaker Church Rd, Randolph, NJ 07869-1373 | 2019-06-18 |
| 1891112058 | May Institute | Community/Behavioral Health | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2014-03-26 |
| 1063839702 | May Institute | Community/Behavioral Health | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2014-03-19 |
| 1295152940 | May Institute | Community/Behavioral Health | 14 Pacella Park Dr, Randolph, MA 02368-1756 | 2014-03-19 |
| Find all providers in RANDOLPH | ||||
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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.