Madison Randolph

Primary specialty

PsychologistTaxonomy code 103T00000X

License

34903 Issued in CA

Practice address

27943 Seco Canyon Rd # 431
Santa Clarita, CA 91350-3872

Phone

(818) 212-4693

NPI assigned

Jun 16, 2021

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Root Group Psychological Corporation

  • Psychologist
  • Santa Clarita, CA
  • NPI 1265291819
  NPD Authorized official

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1053989988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27943 SECO CANYON RD # 431",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27943 SECO CANYON RD # 431",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503872",
            "telephone_number": "818-212-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "34903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Roldan Ramos
• James Richard Penaloza Ramos, M.D.
• Leslie Ramos
• Nadya Ramos
• Nyvia N Randle
• Carissa Rangel
• Natalie Rankin
• Nawal Rashid
• Shikha Rathi
• Deepak Ravi

• Psychologist in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.