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DR. NICOLE RANDALL PSYD, LP
NPI 1205456647
Psychologist - Clinical in Folsom, CA

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment
2365 IRON POINT RD STE 210, FOLSOM, CA 95630(925) 282-1778 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2025, Apr 24, 2020 (2 updates tracked since 2020).

About Dr. Nicole Randall Psyd, Lp NPPES

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

DR. NICOLE RANDALL PSYD, LP (NPI 1205456647) is an individual clinical provider in Folsom, California, licensed in California (35531) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205456647
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLE RANDALLCredential: PSYD, LP
Location Address2365 IRON POINT RD STE 210Folsom, CA 95630-8713
Mailing Address2365 Iron Point Rd Ste 210Folsom, CA 95630-8713
Phone(925) 282-1778
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 24, 2020
Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1205456647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 35531
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.
2365 IRON POINT RD STE 210, Folsom, CA 95630
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Randall Psyd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062942261
PECOS Enrollment IDI20250203002671
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
623 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAYNE ARVIN ACHACOSO MENARDO PSYD
Psychologist (Clinical)
2365 IRON POINT RD STE 210
FOLSOM, CA 95630
Sacramento County (925) 282-1778
MS. ALICIA ROSE AUDINO LMFT
Marriage & Family Therapist
2365 IRON POINT RD STE 210
FOLSOM, CA 95630
Sacramento County (925) 282-1778
MS. JANAH L MITCHELL LMFT
Marriage & Family Therapist
2365 IRON POINT RD STE 210
FOLSOM, CA 95630
Sacramento County (925) 282-1778
KATLIN NICOLE BOAS LMFT
Marriage & Family Therapist
2365 IRON POINT RD STE 210
FOLSOM, CA 95630
Sacramento County (925) 282-1778
CHRISTINE RENE JARKA LCSW
Social Worker (Clinical)
2365 IRON POINT RD STE 210
FOLSOM, CA 95630
Sacramento County (925) 282-1778
JAMES MORGAN ROGERS LMFT
Marriage & Family Therapist
2365 IRON POINT RD STE 210
FOLSOM, CA 95630
Sacramento County (925) 282-1778
MS. MELISSA ANNE FISHER RN, MSN, PMHNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
2365 IRON POINT RD STE 210
FOLSOM, CA 95630
Sacramento County (925) 282-1778
DESIRAE LEANN YODER LMFT
Marriage & Family Therapist
2365 IRON POINT RD STE 210
FOLSOM, CA 95630
Sacramento County (925) 282-1778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Randall's NPI number?

The NPI number for Nicole Randall is 1205456647. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Nicole Randall located?

Nicole Randall practices at 2365 Iron Point Rd Ste 210, Folsom, CA 95630. The listed phone number is (925) 282-1778.

What is Nicole Randall's specialty?

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

Is Nicole Randall enrolled in Medicare?

Yes. Nicole Randall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Randall reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Randall was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.