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DR. JOHN L RANDOLPH ED.D.
NPI 1750481214
Psychologist - Clinical in Malden, MA

Active since September 25, 2006PECOS Enrolled
43 STARBIRD ST., MALDEN, MA 02148(781) 321-6424 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. John L Randolph Ed.d. NPPES

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

DR. JOHN L RANDOLPH ED.D. (NPI 1750481214) is an individual clinical provider in Malden, Massachusetts, licensed in Massachusetts (3875) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750481214
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHN L RANDOLPHCredential: ED.D.
Location Address43 STARBIRD ST.Malden, MA 02148-2835
Mailing Address150 S Huntington Ave, Boston VamcBoston, MA 02130-4817 · (857) 364-3626 · Fax (857) 364-4484
Phone(781) 321-6424
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 11, 2012
✔ NPI 1750481214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 3875
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.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 3875 (MA)
43 STARBIRD ST., Malden, MA 02148
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John L Randolph Ed.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 1750481214. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is John Randolph located?

John Randolph practices at 43 Starbird St., Malden, MA 02148. The listed phone number is (781) 321-6424.

What is John Randolph's specialty?

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

Is John Randolph enrolled in Medicare?

Yes. John Randolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Randolph was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.