RANDALL FLANERY PH D
NPI 1760533129
Psychologist - Cognitive & Behavioral in Saint Louis, MO

Q: What is Randall Flanery's NPI number?

The NPI number for Randall Flanery is 1760533129. It was assigned to this individual provider in the NPPES registry on January 14, 2007.

Q: What is Randall Flanery's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Randall Flanery was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 14, 2007PECOS Enrolled

1129 MACKLIND AVE, SAINT LOUIS, MO 63110(314) 534-0200(314) 534-7996 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Randall Flanery Ph D NPPES

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

RANDALL FLANERY PH D (NPI 1760533129) is an individual cognitive & behavioral provider in Saint Louis, Missouri, licensed in Missouri (R0282) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760533129

Entity TypeIndividualMale

Primary Taxonomy103TB0200X

Provider Legal NameRANDALL FLANERYCredential: PH D

Location Address1129 MACKLIND AVESaint Louis, MO 63110-1440

Mailing Address1129 Macklind AveSaint Louis, MO 63110-1440 · (314) 534-0200 · Fax (314) 534-7996

Phone(314) 534-0200

Fax(314) 534-7996

Sole ProprietorNo

Enumeration DateJanuary 14, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760533129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in MO · R0282

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

1129 MACKLIND AVE, Saint Louis, MO 63110

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall Flanery Ph 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.

Other Providers at the Same Location NPPES 20

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

DR. RONALD BURT MARGOLIS PHD

Psychologist (Cognitive & Behavioral)