Randolph Behavioral Health Services Inc
A Medicare group practice based in Randolph, MA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436499944), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9436499944
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL, MA
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20190320001560 | MA | Part B Supplier - Clinic/Group Practice | 1275079097 |
| O20231214002417 | FL | Part B Supplier - Clinic/Group Practice | 1275079097 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Randolph Behavioral Health Services, Inc.
- Community/Behavioral Health Agency
- Randolph, MA
- NPI 1275079097
-
Randolph Behavioral Health Services, Inc.
- Community/Behavioral Health Agency
- Greenacres, FL
- NPI 1699492470
Practice locations
- Randolph, MA2
- Greenacres, FL1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).
-
Daphne Rollande Claudomir, M. ED.
- Mental Health Counselor
- Stoughton, MA
- NPI 1063714384
-
Celestine Marie Holt, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- South Hadley, MA
- NPI 1962741009
-
Justin Michael Mortimer, MD
- Psychiatry Physician
- Jacksonville, FL
- NPI 1013277656
-
Monique N Tucker-Rhudd, MSW
- Clinical Social Worker
- Jamaica Plain, MA
- NPI 1821246455
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.