DR. EDIN RANDALL PH.D.
NPI 1356774269
Psychologist - Clinical Child & Adolescent in Waltham, MA

Q: What is Edin Randall's NPI number?

The NPI number for Edin Randall is 1356774269. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Q: What is Edin Randall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edin Randall was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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 August 14, 2013PECOS Enrolled

9 HOPE AVE, WALTHAM, MA 02453(617) 355-8930 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Edin Randall Ph.d. NPPES

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

DR. EDIN RANDALL PH.D. (NPI 1356774269) is an individual clinical child & adolescent provider in Waltham, Massachusetts and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356774269

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. EDIN RANDALLCredential: PH.D.

Location Address9 HOPE AVEWaltham, MA 02453-2741

Mailing Address9 Hope AveWaltham, MA 02453-2741

Phone(617) 355-8930

Sole ProprietorNo

Enumeration DateAugust 14, 2013

Last NPPES UpdateSeptember 5, 2014

✔ NPI 1356774269 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

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.

9 HOPE AVE, Waltham, MA 02453

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edin Randall Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Edin Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chmc Anesthesia Foundation Inc

7.7 mi

Pediatric Anesthesiology

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
101 clinicians in this Medicare group

NPI 1831268754 (617) 919-1340

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

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.

ALYSSA BARZACH M.S., CCC-SLP

Speech-Language Pathologist

9 HOPE AVE
WALTHAM, MA 02453

Middlesex County (781) 216-2209

JULIE FRENCH LICSW

Social Worker (Clinical)

9 HOPE AVE
WALTHAM, MA 02453

Middlesex County (617) 355-6000

MARY WOODLAND LICSW

Social Worker (Clinical)

9 HOPE AVE
WALTHAM, MA 02453

Middlesex County (781) 216-3352

DR. AMANDA ROSE MICHEL PT, DPT

Physical Therapist

9 HOPE AVE
WALTHAM, MA 02453

Middlesex County (781) 216-2100

SHARON SHAHAM MS

Speech-Language Pathologist

9 HOPE AVE
WALTHAM, MA 02453

Middlesex County (781) 216-2200

TERRELL A CLARK PHD

Psychologist (Clinical Child & Adolescent)

9 HOPE AVE
WALTHAM, MA 02453

Middlesex County (781) 216-2200

TAMAR M GOMES AU.D.

Audiologist

9 HOPE AVE
WALTHAM, MA 02453

Middlesex County (781) 216-2304

NICOLE M. SEMON PT, DPT, PCS

Physical Therapist

9 HOPE AVE, DEPARTMENT OF PHYSICAL AND OCCUPATIONAL THERAPY
WALTHAM, MA 02453

Middlesex County (781) 216-3670

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 Edin Randall's NPI number?

The NPI number for Edin Randall is 1356774269. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Edin Randall located?

Edin Randall practices at 9 Hope Ave, Waltham, MA 02453. The listed phone number is (617) 355-8930.

What is Edin Randall's specialty?

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

Is Edin Randall enrolled in Medicare?

Yes. Edin Randall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edin Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edin Randall reassigns Medicare benefits to Chmc Anesthesia Foundation Inc (Boston, MA). 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 Edin Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edin Randall accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Edin Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edin Randall was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.