DR. ROBERT OAKLEY RANDLE JR. (NPI# 1255475646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255475646 |
Entity Type | Individual |
Full Name | DR. ROBERT OAKLEY RANDLE JR. |
Credential | PH.D. |
Practice Address |
14728 Lake Ter Rockville MD 20853-3631 |
Practice Telephone | 3018715705 |
Practice Fax Number | 3018715706 |
Mailing Telephone | 3018715705 |
Mailing Fax Number | 3018715706 |
Enumeration Date | 2007-02-18 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | PSY572 | DC | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
0810000737 | VA | Behavioral Health & Social Service Providers |
X | 103TF0200X |
Psychologist Specialization: Forensic |
PSY572 | DC | Behavioral Health & Social Service Providers |
Street Address |
14728 LAKE TER |
City | ROCKVILLE |
State | MD |
Zip Code | 20853-3631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487136701 | Products Exchange International | Non-emergency Medical Transport (VAN) | 4511 Faroe P Lace, A1, Rockville, MD 20853 | 2018-09-04 |
1831637180 | Hee K Park | Social Worker | 15422 Manor House Ter, Rockville, MD 20853 | 2017-02-07 |
1356898910 | Amelework Tesfaye Berhe | Nurse Anesthetist, Certified Registered | 4924 Arctic Terrace, Rockville, MD 20853 | 2016-09-01 |
1821461310 | Maryland Treatment Centers, Inc | Clinic/Center | 14705 Avery House, Rockville, MD 20853 | 2015-11-05 |
1952714370 | Narayanan Neurosurgery Services | Neurological Surgery | 4501 Pinetree Ave, Rockville, MD 20853 | 2014-06-03 |
1245655927 | Christopher Best | Counselor | 4701 Avery Road, Rockville, MD 20853 | 2014-03-04 |
1417200338 | Leo B Ropeta | Physical Therapist | 4705 Miltfred Terrace, Rockville, MD 20853 | 2012-10-16 |
1922358704 | Amy Wynne Luther-rockwell | Registered Nurse | 13815 Flint Rock Road, Rockville, MD 20853 | 2012-09-19 |
1689802456 | Dahlia Topolosky | Psychologist | 5818 B Hubbard Drive, Rockville, MD 20853 | 2009-06-30 |
1407035736 | Nancy Ruberto-beachler | Nutritionist | 4701 Jasmine Dr., Rockville, MD 20853 | 2007-11-02 |
Find all providers in zip 20853 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679793343 | Donna Ann Morere | Clinical Neuropsychologist | 509 Denham Rd, Rockville, MD 20851-1008 | 2007-04-26 |
1083838205 | Joette Deanna James | Clinical Neuropsychologist | 14801 Physicians Ln, Suite 173, Rockville, MD 20850-3922 | 2007-04-11 |
1427115807 | Neil Hoffman | Clinical Neuropsychologist | 4 Dairyfield Ct, Rockville, MD 20852-4227 | 2007-01-03 |
1053877209 | Joseph Snow | Clinical Neuropsychologist | 6274 Montrose Rd, Rockville, MD 20852-4119 | 2019-02-13 |
1174817498 | Jesse Gabriel Brand | Clinical Neuropsychologist | 1201 Seven Locks Rd, Suite 101, Rockville, MD 20854-2931 | 2011-06-03 |
1609007095 | Adventist Physician Services, Inc | Clinical Neuropsychologist | 9909 Medical Center Drive, Rockville, MD 20850 | 2009-08-03 |
1780810309 | Nicole Fromm | Clinical Neuropsychologist | 9909 Medical Center Dr, Rockville, MD 20850-6361 | 2009-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760004832 | Kehinde Bolajoko Abioye | Clinical Neuropsychologist | 10420 Little Patuxent Pkwy Ste 250, Columbia, MD 21044-3638 | 2020-05-12 |
1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
1790207967 | Allison Morgan Hecht | Clinical Neuropsychologist | 101 E Chesapeake Ave Ste 202, Towson, MD 21286-5362 | 2017-07-10 |
1902333107 | Keenan Alexander Walker | Clinical Neuropsychologist | Phipps, Room 446, 600 North Wolfe Street, Baltimore, MD 21287 | 2017-05-18 |
1467804393 | Emma Cole | Clinical Neuropsychologist | 7621 Warbler Ln, Derwood, MD 20855-1031 | 2016-07-03 |
1184071375 | Shawn Shanee Nelson Schmitt | Clinical Neuropsychologist | 8555 16th St Ste 310, Summit Building, Silver Spring, MD 20910-2802 | 2016-05-18 |
1528421625 | Ellen Iscoe | Clinical Neuropsychologist | 3907 Livingston St, Hyattsville, MD 20781-1740 | 2016-04-05 |
1174930515 | Alyssa Levisohn | Clinical Neuropsychologist | 714 Kersey Rd, Silver Spring, MD 20902-3061 | 2014-07-17 |
1588008510 | Jacqueline R Weaver | Clinical Neuropsychologist | 2200 Kernan Dr Ofc 1219, Baltimore, MD 21207-6665 | 2013-04-21 |
1275875221 | Matthew Lawrence Cohen | Clinical Neuropsychologist | Meyer 218 The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2013-03-17 |
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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.