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RANDOLPH BEHAVIORAL HEALTH SERVICES, INC.
NPI 1699492470
Community/Behavioral Health in Greenacres, FL

Active since October 24, 2022
5700 LAKE WORTH RD STE 106, GREENACRES, FL 33463(561) 727-8635(855) 284-1305 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 16, 2023, Oct 24, 2022 (2 updates tracked since 2022).

About Randolph Behavioral Health Services, Inc. NPPES

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

RANDOLPH BEHAVIORAL HEALTH SERVICES, INC. (NPI 1699492470) is a healthcare organization registered as a community/behavioral health in Greenacres, Florida and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Greenacres and lists Daphne Rollande Claudomir, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1699492470
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRANDOLPH BEHAVIORAL HEALTH SERVICES, INC.
Location Address5700 LAKE WORTH RD STE 106Greenacres, FL 33463-3213
Mailing AddressPo Box 4414Boynton Beach, FL 33424-4414 · (561) 727-8635 · Fax (561) 727-8684
Phone(561) 727-8635
Fax(855) 284-1305
Organization SubpartYes
Authorized OfficialDaphne Rollande ClaudomirClinic Director · (561) 727-8635
Enumeration DateOctober 24, 2022
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
✔ NPI 1699492470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
5700 LAKE WORTH RD STE 106, Greenacres, FL 33463
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Secondary Practice Location 1

Location 15700 Lake Worth Rd Ste 106Greenacres, FL 33463-3213 · Phone (561) 727-8635 · Fax (561) 727-8684

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randolph Behavioral Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Randolph Behavioral Health Services, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Justin Mortimer, MD
Psychiatry
NPI 1013277656
2732 TROLLIE LN
Jacksonville, FL 32211
(904) 289-1254
✔ PECOS✔ Accepts Medicare272 mi
Daphne Claudomir, M. ED.
Mental Health Counselor
NPI 1063714384
966 PARK ST STE A2
Stoughton, MA 02072
(781) 885-7530
✔ PECOS✔ Accepts Medicare1,185 mi

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

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 Randolph Behavioral Health Services, Inc.'s NPI number?

The NPI number for Randolph Behavioral Health Services, Inc. is 1699492470. It was assigned to this organization in the NPPES registry on October 24, 2022.

Where is Randolph Behavioral Health Services, Inc. located?

Randolph Behavioral Health Services, Inc. is located at 5700 Lake Worth Rd Ste 106, Greenacres, FL 33463. The listed phone number is (561) 727-8635.

What is Randolph Behavioral Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Randolph Behavioral Health Services, Inc. enrolled in Medicare?

Yes. Randolph Behavioral Health Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Randolph Behavioral Health Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Randolph Behavioral Health Services, Inc., in Mental Health Counselor and Psychiatry. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Randolph Behavioral Health Services, Inc. was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.