LILY RANDALL PSYD
NPI 1831615467
Psychologist in San Clemente, CA
About Lily Randall Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILY RANDALL PSYD (NPI 1831615467) is an individual psychologist in San Clemente, California and active in the NPI registry since August 2017. She has opted out of Medicare through August 2, 2027 and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Lily Randall Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 2, 2021 through August 2, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN CLEMENTE, CA 92673
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 Lily Randall's NPI number?
The NPI number for Lily Randall is 1831615467. It was assigned to this individual provider in the NPPES registry on August 15, 2017.
Where is Lily Randall located?
Lily Randall practices at 629 Camino De Los Mares Ste 207A, San Clemente, CA 92673. The listed phone number is (714) 345-5200.
What is Lily Randall's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Lily Randall enrolled in Medicare?
No. Lily Randall has opted out of Medicare through August 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Lily Randall was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.