Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RANDALL CLIFFORD NEDEGAARD PH.D
NPI 1013908946
Psychologist - Clinical in Grand Forks Afb, ND

Q: What is Randall Nedegaard's NPI number?

The NPI number for Randall Nedegaard is 1013908946. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Q: What is Randall Nedegaard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Randall Nedegaard was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2005

1599 J ST, 319 MDOS/SGOH, GRAND FORKS AFB, ND 58205(701) 747-7155(701) 747-7340 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Dr. Randall Clifford Nedegaard Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL CLIFFORD NEDEGAARD PH.D (NPI 1013908946) is an individual clinical provider in Grand Forks Afb, North Dakota, licensed in Kansas (1126) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1013908946

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. RANDALL CLIFFORD NEDEGAARDCredential: PH.D

Location Address1599 J ST, 319 MDOS/SGOHGrand Forks Afb, ND 58205-6306

Mailing Address1520 March DrGrand Forks Afb, ND 58204-1231 · (701) 594-9508 · Fax (701) 747-7340

Phone(701) 747-7155

Fax(701) 747-7340

Sole ProprietorNo

Enumeration DateOctober 31, 2005

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1013908946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in KS · 1126

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 123-1858 (WI)

1599 J ST, Grand Forks Afb, ND 58205

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