DR. MIAKISH RANDALL
NPI 1861149403
Psychologist in Jacksonville, FL

Active since March 03, 2022PECOS Enrolled
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209(904) 470-6900 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2022, Mar 3, 2022 (2 updates tracked since 2022).

About Dr. Miakish Randall NPPES

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

DR. MIAKISH RANDALL (NPI 1861149403) is an individual psychologist in Jacksonville, Florida and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861149403
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MIAKISH RANDALL
Location Address1536 N JEFFERSON STJacksonville, FL 32209-6525
Mailing Address6900 Southpoint Dr N Fl 5Jacksonville, FL 32216-8007
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 3, 2022
Last NPPES UpdateMarch 11, 20222 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1861149403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
1536 N JEFFERSON ST, Jacksonville, FL 32209

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Miakish Randall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496211781
PECOS Enrollment IDI20260727004460
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.

Medicare Billing Reassignment

Medicare enrollment records show Miakish Randall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
323 SUNNY ISLES BLVD FL 7
Sunny Isles Beach, FL 33160
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Occupational Therapist
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Family Medicine
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Pharmacist
1536 N JEFFERSON ST, JOC PHARMACY DEPARTMENT
JACKSONVILLE, FL 32209
Radiology (Diagnostic Radiology)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Psychiatry & Neurology (Psychiatry)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Dentist (General Practice)
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209
Psychologist (Clinical)
1536 N JEFFERSON ST, JACKSONVILLE OUTPATIENT CLINIC
JACKSONVILLE, FL 32209
Internal Medicine
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209

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 Miakish Randall's NPI number?

The NPI number for Miakish Randall is 1861149403. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Miakish Randall located?

Miakish Randall practices at 1536 N Jefferson St, Jacksonville, FL 32209. The listed phone number is (904) 470-6900.

What is Miakish Randall's specialty?

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

Is Miakish Randall enrolled in Medicare?

Yes. Miakish Randall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miakish Randall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miakish Randall reassigns Medicare benefits to Silver Palm Health Psych LLC (Sunny Isles Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miakish Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miakish Randall accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Miakish Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miakish Randall was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.