DR. PATRICK DAVID RANDOLPH (NPI# 1013060946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013060946 |
| Entity Type | Individual |
| Full Name | DR. PATRICK DAVID RANDOLPH |
| Credential | PH.D. |
| Practice Address |
5147 69th St Ste D Lubbock TX 79424-1646 |
| Practice Telephone | 8067718808 |
| Practice Fax Number | 8067718809 |
| Mailing Telephone | 8067718808 |
| Mailing Fax Number | 8067718809 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 24796 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 099265302 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6502 Slide Rd, Suite 207, Lubbock, TX 794241329 | 8067718808 | 8067718809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912189622 | Patrick Randolph | Case Manager/Care Coordinator | 3223 E Broadway St, North Little Rock, AR 72114-6344 | 2007-12-04 |
| 1205894367 | Patrick F Randolph | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
| Street Address |
5147 69TH ST STE D |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427510643 | Kathryn B Hom | Psychologist | 5147 69th St Ste D, Lubbock, TX 79424-1646 | 2019-04-05 |
| 1144790130 | Therapractic Management Systems | Psychologist | 5147 69th St Ste D, Lubbock, TX 79424-1646 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336786870 | Bailey P Tackett | Psychologist | 2024 82nd St Unit 103, Lubbock, TX 79423-4343 | 2019-12-03 |
| 1992215503 | Sharla Boyd, Ph.d., Pllc | Psychologist | 6824 Wayne Ave Ste 1, Lubbock, TX 79424-1649 | 2017-10-10 |
| 1760917371 | Discovery Medical Network Telehealth, LLC | Psychologist | 2950 50th St, Lubbock, TX 79413-4326 | 2017-04-21 |
| 1558806729 | Elizabeth Eliot Dennard | Psychologist | 5502 58th St Ste 600, Lubbock, TX 79414-2087 | 2016-12-27 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
| 1205044740 | Texas Tech University Psychology Clinic | Psychologist | 18th Street and Boston Avenue, Lubbock, TX 79409 | 2007-05-18 |
| 1699983098 | Richard Scotten Wampler | Psychologist | Marriage and Family Therapy, Aps, Box 41162, Texas Tech University, Lubbock, TX 79409-1162 | 2007-05-18 |
| 1154465409 | George Gary Walker | Psychologist | 5120 29th Dr Ste C, Lubbock, TX 79407-2612 | 2007-02-19 |
| 1093869695 | Stephen Cook | Psychologist | 18th & Boston, #111a, Lubbock, TX 79409-2051 | 2007-01-22 |
| Find all providers in LUBBOCK | ||||
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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.