DR. RANDOLPH PHILIP ROUNTREE M.D., PSY.D.
NPI 1891064150
Psychologist - Prescribing (Medical) in Las Cruces, NM

Q: What is Randolph Rountree's NPI number?

The NPI number for Randolph Rountree is 1891064150. It was assigned to this individual provider in the NPPES registry on December 15, 2011. The provider is also known as Dr. Randolph Philip Rountree MD, Psyd.

Q: What is Randolph Rountree's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Rountree was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 15, 2011PECOS Enrolled

1505 S DON ROSER DR STE A, LAS CRUCES, NM 88011(719) 238-9111 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2019, May 16, 2018 (2 updates tracked since 2018).

On this page

About Dr. Randolph Philip Rountree M.d., Psy.d. NPPES

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

DR. RANDOLPH PHILIP ROUNTREE M.D., PSY.D. (NPI 1891064150) is an individual prescribing (medical) provider in Las Cruces, New Mexico, licensed in New Mexico (C0076) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891064150

Entity TypeIndividualMale

Primary Taxonomy103TP0016X

Provider Legal NameDR. RANDOLPH PHILIP ROUNTREECredential: M.D., PSY.D.

Location Address1505 S DON ROSER DR STE ALas Cruces, NM 88011-4596

Mailing AddressPo Box 2005Woodland Park, CO 80866-2005 · (719) 238-9111

Phone(719) 238-9111

Sole ProprietorYes

Enumeration DateDecember 15, 2011

Last NPPES UpdateDecember 20, 20192 updates tracked since enumeration

✔ NPI 1891064150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in NM · C0076

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 3689 (CO)

1505 S DON ROSER DR STE A, Las Cruces, NM 88011

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Randolph Philip Rountree Md, Psyd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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)

Dr. Randolph Philip Rountree M.d., Psy.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 6

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

DR. MARTIN GLENN GREER PH.D.

Psychologist (Counseling)