DR. JOHN JAMES RANDOLPH


Address: 20 W Park St, Ste 215, Lebanon, NH 03766-1378
Phone: 6034486779

DR. JOHN JAMES RANDOLPH (NPI# 1700881463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700881463
Entity Type Individual
Full Name DR. JOHN JAMES RANDOLPH
Credential PH.D.
Practice Address 20 W Park St
Ste 215
Lebanon
NH 03766-1378
Mailing Address 20 W Park St
Suite 215
Lebanon
NH 03766-1378
Practice Telephone 6034486779
Practice Fax Number 6036530246
Mailing Telephone 6036530330
Mailing Fax Number 6036530330
Enumeration Date 2005-06-17
Last Update Date 2014-03-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 1027 NH Behavioral Health & Social Service Providers
N 103T00000X Psychologist 1027 NH Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH ANTHEM BLUE CROSS BLUE SH 06Y007347NH01 01
VT BLUE CROSS BLUE SHIELD 00068596 01

Other Providers JOHN RANDOLPH

NPI Name Taxonomy Address Enumeration
1871656900 John T Randolph Chiropractor 10223 Broadway St Ste C, Pearland, TX 77584-7881 2006-12-19
1750481214 John L Randolph Psychologist 43 Starbird St., Malden, MA 02148-2835 2006-09-25
1750389482 John Franklin Randolph Family Medicine 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 2005-07-07
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

Office Location

Street Address 20 W PARK ST
STE 215
City LEBANON
State NH
Zip Code 03766-1378

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235336017 Marjorie Ann Hudgens Social Worker 20 W Park St, Counseling Center of Lebanon, Lebanon, NH 03766-1378 2007-06-27
1871719971 Faith Catlin Social Worker 20 W Park St, Suite 312, Lebanon, NH 03766-1378 2007-04-17
1730227372 Jon Gerald Aldrich Social Worker 20 W Park St, Suite 214, Lebanon, NH 03766-1378 2007-02-04
1730225509 Michelle Linda Belk Counselor 20 W Park St, Suite 213, Lebanon, NH 03766-1378 2007-01-29
1497806889 Kimberly Knowlton-young Social Worker 20 W Park St, Lebanon, NH 03766-1378 2007-01-15
1134219678 Joan Kundin Doubleday Counselor 20 W Park St, Lebanon, NH 03766-1378 2006-10-13
1013927870 Joseph Peter Saginor Psychologist 20 W Park St, Suite 209, Lebanon, NH 03766-1378 2006-08-08
1255372405 Charles Edward Lindner Counselor 20 W Park St, Suite 214, Lebanon, NH 03766-1378 2006-06-09
1033161807 Susan G Kahn Counselor 20 W Park St, Suite 413, Lebanon, NH 03766-1378 2006-05-17
1174588800 Jennifer Jill Fischer Psychologist 20 W Park St, Ste 213, Lebanon, NH 03766 2006-04-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033580345 Leah E Abrahamsen Social Worker 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 2015-10-13
1871982801 Steps Opioid Addiction Treatment Clinic/Center 1 Glen Road, Suite 216, Lebanon, NH 03766 2015-01-14
1811282288 Lisa Golden Morse Occupational Therapist 23 Mahon St, Lebanon, NH 03766 2011-06-14
1750607131 Timothy Joseph Lin Orthopaedic Surgery 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 2010-04-11
1457673857 Melanie A Baker Dental Hygienist One Court Street, Suite 270, Lebanon, NH 03766 2010-02-26
1568613073 Peter Keith Isquith Clinical Neuropsychologist 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 2008-10-02
1235317512 Leslie Sudak Speech-Language Pathologist 10 Mascoma St, Lebanon, NH 03766 2008-02-08
1891973269 Dc Whitfield Nurse Practitioner 20 W Park St Ste 418, Lebanon, NH 03766 2008-02-07
1588879951 Charles R Meyers Acupuncturist 2 Whipple Place, Lebanon, NH 03766 2007-05-11
1285859686 Thomas A Johnston Dentist 206 Heater Road, Lebanon, NH 03766 2007-04-13
Find all providers in zip 03766

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568613073 Peter Keith Isquith Clinical Neuropsychologist 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 2008-10-02
1821611401 Cierra Keith Clinical Neuropsychologist 1 Medical Center Dr, Lebanon, NH 03756-1000 2020-05-18
1699142794 Catherine Lorraine Williams Clinical Neuropsychologist 1 Medical Center Dr, Lebanon, NH 03756-1000 2015-08-25
1891863106 Robert Mark Roth Clinical Neuropsychologist 1 Medical Center Drive, Lebanon, NH 03756-0001 2006-12-04
1407924723 Andrew J Saykin Clinical Neuropsychologist 1 Medical Center Drive, Lebanon, NH 03756-0001 2006-12-04
1104994680 Heather Ann Wishart Clinical Neuropsychologist 1 Medical Center Drive, Lebanon, NH 03756-0001 2006-12-01
1730131707 Laura A Flashman Clinical Neuropsychologist 1 Medical Center Dr, Dept of Psychiatry Hb7750, Lebanon, NH 03756-1000 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831500511 Matthew Holcomb Clinical Neuropsychologist 335 Bog Rd, Enfield, NH 03748-4103 2014-05-15
1407133226 Ekaterina Tolstikova Clinical Neuropsychologist 150 Myrtle Street, Manchester, NH 03104-6025 2011-11-08
1841244522 William Thomas Mautz Clinical Neuropsychologist 20 Ladd St, 4th Floor, Portsmouth, NH 03801-4089 2006-05-19
1730162843 William J. Jamieson Clinical Neuropsychologist 61 North St, Manchester, NH 03104-3029 2005-11-22
1326035734 James Beauregard Clinical Neuropsychologist 138 Webster St, Manchester, NH 03104-2512 2005-09-30
1003816992 Douglas F. Watt Clinical Neuropsychologist 24 Charlotte Ave, Nashua, NH 03064-1551 2005-07-21
1467801811 Jessica Y. Rhee Clinical Neuropsychologist 40 Buttrick Rd, Londonderry, NH 03053 2016-06-07
1164730420 Susan R Mcgurk Clinical Neuropsychologist 105 Pleasant St, Dartmouth Psychiatric Research Center, Main Building, Concord, NH 03301-3852 2010-09-21
1104059237 Orion Diagnostics Incorporated Clinical Neuropsychologist 138 Elm Street, Newport, NH 03773-0025 2009-08-24
1073745899 Meagan Etchells Lentz Clinical Neuropsychologist 138 Webster St, Manchester, NH 03104-2512 2009-08-12
Find all providers with the same taxonomy

Competitor

Search similar providers

City LEBANON
Zip Code 03766

Improve Information

Please comment or provide details below to improve the information on DR. JOHN JAMES RANDOLPH.

Dataset Information

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.

Trending Searches