Patrick David Randolph, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

24796 Issued in TX

Practice address

5147 69TH St Ste D
Lubbock, TX 79424-1646

Phone

(806) 771-8808

Fax

(806) 771-8809

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Patrick D Randolph PHD IncGroup PAC ID 7810054632, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patrick D Randolph PHD Inc

  • Psychologist
  • Lubbock, TX
  • NPI 1740267285
  Medicare reassignment Care Compare group
• Therapractic Management Systems

  • Counselor
  • Lubbock, TX
  • NPI 1144790130

  Psychologist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1013060946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5147 69TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241646",
            "telephone_number": "806-771-8808",
            "fax_number": "806-771-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 69TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241646",
            "telephone_number": "806-771-8808",
            "fax_number": "806-771-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Rose Wood Trail",
            "address_purpose": "LOCATION",
            "city": "Alto",
            "state": "NM",
            "postal_code": "88312",
            "country_code": "US",
            "telephone_number": "806-771-8808",
            "fax_number": "806-771-8809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "PATRICK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099265302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Grace Ranco, LCSW
• Randall D Wolcott MD PA
• Randall King
• Alexis Kay Randall
• Thomas Barfoed Randers Jr., D.D.S.
• Ramakrishnan Ranganath, MD
• Turlapati Ramamohan Rao, M.D.
• Akash Reddy Raola
• Rapid Mobile Imaging LLC
• Keal Rasavage, CRNA

• Psychologist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.