1. Home
  2. Directory
  3. Georgia
  4. Fayetteville
  5. Psychologist
  6. NPI Profile

TIFFANY GILMORE RANDELL PSY.D.
NPI 1245655893
Psychologist - Clinical Child & Adolescent in Fayetteville, GA

Active since February 19, 2014
101 DEVANT STREET,, OFFICE 401, FAYETTEVILLE, GA 30214(404) 585-5439(678) 802-0398 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tiffany Gilmore Randell Psy.d. NPPES

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

TIFFANY GILMORE RANDELL PSY.D. (NPI 1245655893) is an individual clinical child & adolescent provider in Fayetteville, Georgia, licensed in Georgia (PSY00365) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1245655893
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameTIFFANY GILMORE RANDELLCredential: PSY.D.
Location Address101 DEVANT STREET,, OFFICE 401Fayetteville, GA 30214
Mailing Address1415 Hwy 85 N, Ste 310-222Fayetteville, GA 30214 · (404) 585-5439 · Fax (678) 802-0398
Phone(404) 585-5439
Fax(678) 802-0398
Sole ProprietorYes
Enumeration DateFebruary 19, 2014
✔ NPI 1245655893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in GA · PSY00365
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

101 DEVANT STREET,, Fayetteville, GA 30214
Open in Google Maps ↗

Other Identifiers 1

Medicaid430767825AGA

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 Tiffany Gilmore Randell's NPI number?

The NPI number for Tiffany Gilmore Randell is 1245655893. It was assigned to this individual provider in the NPPES registry on February 19, 2014.

Where is Tiffany Gilmore Randell located?

Tiffany Gilmore Randell practices at 101 Devant Street, Office 401, Fayetteville, GA 30214. The listed phone number is (404) 585-5439.

What is Tiffany Gilmore Randell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Tiffany Gilmore Randell was last updated on February 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.