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CAMILLE RANDALL PHD
NPI 1992114417
Psychologist - Clinical in Saint Louis, MO

Active since August 08, 2014PECOS Enrolled
1129 MACKLIND AVE, SAINT LOUIS, MO 63110(314) 534-0200(314) 534-7996 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camille Randall Phd NPPES

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

CAMILLE RANDALL PHD (NPI 1992114417) is an individual clinical provider in Saint Louis, Missouri, licensed in Illinois (071007584) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992114417
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCAMILLE RANDALLCredential: PHD
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 DateAugust 8, 2014
✔ NPI 1992114417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071007584
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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 and more.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)

Camille Randall Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JESSICA LYN BURICH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 534-0200
DR. RYAN MAID PSY.D.
Psychologist (Clinical)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 534-0200
NATALIE ANDREA SEMINARIO MD
Psychiatry & Neurology (Psychiatry)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 534-0200
ASHLEIGH SARAH GOLDEN PSY.D.
Student in an Organized Health Care Education/Training Program
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 534-0200
SKYLAR JORDAN NICHOLS LCSW
Social Worker (Clinical)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 534-0200
MICHELE NICOSIA BSPT, MSM
Physical Therapist
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 534-0200
HERMANN CARL WITTE PH D
Psychologist (Cognitive & Behavioral)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 534-0200
CARA JANE CAPUANO MSW, LCSW
Social Worker (Clinical)
1129 MACKLIND AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 534-0200

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 Camille Randall's NPI number?

The NPI number for Camille Randall is 1992114417. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Camille Randall located?

Camille Randall practices at 1129 Macklind Ave, Saint Louis, MO 63110. The listed phone number is (314) 534-0200.

What is Camille Randall's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Camille Randall enrolled in Medicare?

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

What insurance does Camille Randall accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Camille 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 Camille Randall was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.