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DR. ALICE H RANDOLPH EDD MSCP
NPI 1497865885
Psychologist - Clinical in Port Clinton, OH

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
3872 E HARBOR LIGHT LANDING DR, PORT CLINTON, OH 43452(216) 215-8000(877) 734-2032 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alice H Randolph Edd Mscp NPPES

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

DR. ALICE H RANDOLPH EDD MSCP (NPI 1497865885) is an individual clinical provider in Port Clinton, Ohio, licensed in Ohio (2974) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1497865885
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALICE H RANDOLPHCredential: EDD MSCP
Location Address3872 E HARBOR LIGHT LANDING DRPort Clinton, OH 43452-3877
Mailing Address205 Se Catawba Rd, Suite APort Clinton, OH 43452-2666 · (216) 215-8000 · Fax (877) 734-2032
Phone(216) 215-8000
Fax(877) 734-2032
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1497865885 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 OH · 2974
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.
3872 E HARBOR LIGHT LANDING DR, Port Clinton, OH 43452
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Other Identifiers 4

Other294762000OH · Magellan
Other000000137850OH · Anthem
OtherP00127008OH · Railroad Medicare
Medicaid0473590OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alice H Randolph Edd Mscp 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 ID4082510490
PECOS Enrollment IDI20120210000485
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
60 services22 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43452 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

PETER B CASGRAIN PHD
Psychologist (Clinical)
3872 E HARBOR LIGHT LANDING DR
PORT CLINTON, OH 43452
Ottawa County (419) 734-3333

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 Alice Randolph's NPI number?

The NPI number for Alice Randolph is 1497865885. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Alice Randolph located?

Alice Randolph practices at 3872 E Harbor Light Landing Dr, Port Clinton, OH 43452. The listed phone number is (216) 215-8000.

What is Alice Randolph's specialty?

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

Is Alice Randolph enrolled in Medicare?

Yes. Alice Randolph 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.

What insurance does Alice Randolph accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Alice Randolph 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 Alice Randolph was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.