RANDALL RAY MASTERSON M.S., C.S.P.
NPI 1790056489
Psychologist in Olney, IL

Active since January 26, 2012
302 S KITCHELL AVE, SUITE A, OLNEY, IL 62450(618) 392-2725(866) 302-0227 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Ray Masterson M.s., C.s.p. NPPES

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

RANDALL RAY MASTERSON M.S., C.S.P. (NPI 1790056489) is an individual psychologist in Olney, Illinois, licensed in Illinois (969847) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1790056489
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRANDALL RAY MASTERSONCredential: M.S., C.S.P.
Location Address302 S KITCHELL AVE, SUITE AOlney, IL 62450-1500
Mailing Address302 S Kitchell Ave, Suite AOlney, IL 62450-1500 · (618) 392-2725 · Fax (866) 302-0227
Fax(866) 302-0227
Sole ProprietorYes
Enumeration DateJanuary 26, 2012
NPI 1790056489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 969847
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
302 S KITCHELL AVE, Olney, IL 62450

Other Providers at the Same Location NPPES 5

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

Psychologist (Clinical)
302 S KITCHELL AVE
OLNEY, IL 62450
Psychologist (Clinical)
302 S KITCHELL AVE
OLNEY, IL 62450
Community/Behavioral Health
302 S KITCHELL AVE, SUITE B
OLNEY, IL 62450
Preferred Provider Organization
302 S KITCHELL AVE, SUITE A
OLNEY, IL 62450
Counselor (Mental Health)
302 S KITCHELL AVE, SUITE A
OLNEY, IL 62450

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 Randall Masterson's NPI number?

The NPI number for Randall Masterson is 1790056489. It was assigned to this individual provider in the NPPES registry on January 26, 2012.

Where is Randall Masterson located?

Randall Masterson practices at 302 S Kitchell Ave Suite A, Olney, IL 62450. The listed phone number is (618) 392-2725.

What is Randall Masterson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Randall Masterson was last updated on January 26, 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.