PATRICIA RANDOLPH (NPI# 1942345632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942345632 |
| Entity Type | Individual |
| Full Name | PATRICIA RANDOLPH |
| Credential | MA, PH.D |
| Practice Address |
2900 Adams St Riverside CA 92504-4335 |
| Mailing Address |
2201 Santa Anita Ave Altadena CA 91001-2918 |
| Practice Telephone | 9512055883 |
| Practice Fax Number | 9518989858 |
| Mailing Telephone | 6264824021 |
| Mailing Fax Number | 9518989858 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFC25109 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154489128 | Patricia Randolph | Audiologist | 11120 New Hampshire Ave Ste 504, Silver Spring, MD 20904-2618 | 2006-12-04 |
| 1659681088 | Patricia Eileen Randolph | Specialist | 2006 Main Street, Vancouver, WA 98660 | 2010-10-19 |
| Street Address |
2900 ADAMS ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841387024 | Gary Richard Mcguire | Marriage & Family Therapist | 2900 Adams St, Suite B30-18, Riverside, CA 92504-4335 | 2006-10-06 |
| 1457779449 | Kelly Brown | Speech-Language Pathologist | 2900 Adams St, Suite A-335, Riverside, CA 92504-4335 | 2014-04-07 |
| 1215284666 | Integrated Injury Management Services Inc | Clinic/Center | 2900 Adams St, C130, Riverside, CA 92504-4335 | 2012-08-03 |
| 1578624722 | Patricia Carol Mccauley | Marriage & Family Therapist | 2900 Adams St, A-430, Riverside, CA 92504-4335 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1023638541 | Sarah Davidson-amici | Counselor | 2167 Buckskin Pl, Riverside, CA 92506-4608 | 2020-04-24 |
| 1790311470 | Melanie S David | Counselor | 11498 Pierce St Ste A&b, Riverside, CA 92505-3357 | 2020-03-13 |
| 1548890155 | Taylor Jean Robitzer I | Counselor | 16435 Trisha Way, Riverside, CA 92504-5731 | 2020-01-23 |
| 1043854714 | Marie Apke | Counselor | 493 Uvedale Rd, Riverside, IL 60546-1608 | 2019-11-05 |
| 1851934954 | Community Access Network | Counselor | 16542 Tava Ln, Riverside, CA 92504-5833 | 2019-10-21 |
| 1124661236 | Community Access Network | Counselor | 10631 Orchard View Ln, Riverside, CA 92503-6605 | 2019-10-21 |
| 1518519503 | Erica Elissa Sierra | Counselor | 2085 Rustin Ave Ofc 2157, Riverside, CA 92507-2498 | 2019-07-10 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1518445725 | Ryan Gregory Galippo | Counselor | 1625 14th Street, Riverside, CA 92513-7549 | 2018-07-31 |
| Find all providers in RIVERSIDE | ||||
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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.