CATHY RANDOLPH NP
NPI 1720244833
Nurse Practitioner - Psychiatric/Mental Health in Farmingville, NY

Active since July 29, 2008PECOS EnrolledAccepts Medicare Assignment
100 GRANNY RD, FARMINGVILLE, NY 11738(631) 994-1075(631) 350-0293 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Jan 7, 2024, Oct 15, 2021 (3 updates tracked since 2021).

About Cathy Randolph Np NPPES

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

CATHY RANDOLPH NP (NPI 1720244833) is an individual psychiatric/mental health provider in Farmingville, New York, licensed in New York (403021) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720244833
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCATHY RANDOLPHCredential: NP
Location Address100 GRANNY RDFarmingville, NY 11738-2879
Mailing Address1600 Calebs Path Ext Ste 122Hauppauge, NY 11788-5224
Fax(631) 350-0293
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 29, 2008
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1720244833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 403021
Also ListedRegistered NurseTaxonomy 163W00000X · License 554743-1 (NY)
100 GRANNY RD, Farmingville, NY 11738

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

Cathy Randolph Np 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 ID1951776855
PECOS Enrollment IDI20230406001519
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11738 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 9

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

Registered Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Nurse Practitioner (Adult Health)
100 GRANNY RD
FARMINGVILLE, NY 11738
Licensed Practical Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Registered Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Counselor (Addiction (Substance Use Disorder))
100 GRANNY RD
FARMINGVILLE, NY 11738
Registered Nurse
100 GRANNY RD
FARMINGVILLE, NY 11738
Counselor (Addiction (Substance Use Disorder))
100 GRANNY RD
FARMINGVILLE, NY 11738
Social Worker
100 GRANNY RD
FARMINGVILLE, NY 11738

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 Cathy Randolph's NPI number?

The NPI number for Cathy Randolph is 1720244833. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Cathy Randolph located?

Cathy Randolph practices at 100 Granny Rd, Farmingville, NY 11738. The listed phone number is (631) 994-1075.

What is Cathy Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Cathy Randolph enrolled in Medicare?

Yes. Cathy 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 Cathy Randolph was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.