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DR. JOHN JAMES RANDOLPH PH.D.
NPI 1700881463
Clinical Neuropsychologist in Lebanon, NH

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
20 W PARK ST, STE 215, LEBANON, NH 03766(603) 448-6779(603) 653-0246 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John James Randolph Ph.d. NPPES

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

DR. JOHN JAMES RANDOLPH PH.D. (NPI 1700881463) is an individual clinical neuropsychologist in Lebanon, New Hampshire, licensed in New Hampshire (1027) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (2005).

NPPES Registry Identity

NPI1700881463
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. JOHN JAMES RANDOLPHCredential: PH.D.
Location Address20 W PARK ST, STE 215Lebanon, NH 03766-1378
Mailing Address20 W Park St, Suite 215Lebanon, NH 03766-1378 · (603) 653-0330 · Fax (603) 653-0330
Phone(603) 448-6779
Fax(603) 653-0246
Sole ProprietorYes
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2005
Enumeration DateJune 17, 2005
Last NPPES UpdateMarch 4, 2014
✔ NPI 1700881463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NH · 1027
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License 1027 (NH)
20 W PARK ST, Lebanon, NH 03766
Open in Google Maps ↗

Other Identifiers 3

Other00068596VT · Blue Cross Blue Shield
Medicare ID-Type UnspecifiedRE7710
Other06Y007347NH01NH · Anthem Blue Cross Blue Sh

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. John James Randolph Ph.d. 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 ID1355311531
PECOS Enrollment IDI20251013003248
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 6

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.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
246 services46 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
134 services46 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.
46 services46 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
46 services46 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
46 services46 patients
Family psychotherapy with patient, 50 minutes 90847
Family psychotherapy is a 50-minute session where a therapist helps the patient and their family understand and manage mental health issues. It's a collaborative process that aims to improve communication, solve family problems, understand and handle special family situations, and create a better functioning home environment.
39 services39 patients

Other Providers at the Same Location NPPES 11

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

JOSEPH PETER SAGINOR PH.D
Psychologist (Clinical)
20 W PARK ST, SUITE 209
LEBANON, NH 03766
Grafton County (603) 448-1553
MS. JOAN KUNDIN DOUBLEDAY LICSW
Counselor (Mental Health)
20 W PARK ST
LEBANON, NH 03766
Grafton County (603) 448-9925
JENNIFER JILL FISCHER LICSW
Psychologist
20 W PARK ST, STE 213
LEBANON, NH 03766
Grafton County (603) 448-5318
MARJORIE ANN HUDGENS MSW, LICSW
Social Worker (Clinical)
20 W PARK ST, COUNSELING CENTER OF LEBANON
LEBANON, NH 03766
Grafton County (603) 448-1101
MR. CHARLES EDWARD LINDNER M. DIV.
Counselor (Pastoral)
20 W PARK ST, SUITE 214
LEBANON, NH 03766
Grafton County (603) 448-2414
MRS. KIMBERLY KNOWLTON-YOUNG LICSW
Social Worker (Clinical)
20 W PARK ST
LEBANON, NH 03766
Grafton County (339) 440-1103
MILL BROOK WELLNESS, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
20 W PARK ST
LEBANON, NH 03766
Grafton County (802) 243-0215
MRS. MICHELLE LINDA BELK LCMHC
Counselor (Mental Health)
20 W PARK ST, SUITE 213
LEBANON, NH 03766
Grafton County (508) 254-7955

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 John Randolph's NPI number?

The NPI number for John Randolph is 1700881463. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is John Randolph located?

John Randolph practices at 20 W Park St Ste 215, Lebanon, NH 03766. The listed phone number is (603) 448-6779.

What is John Randolph's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is John Randolph enrolled in Medicare?

Yes. John 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.

When was this NPI record last updated?

The NPPES record for John Randolph was last updated on March 4, 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.