Active NPI
Sonja L. Randle, M.D.
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1073595161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H0748
- Practice address
- 4606 FM 1960 Rd W
Suite 545
Houston, TX 77069-4600 - Phone
- (281) 639-3024
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H0748 | TX | Primary |
Addresses
Primary practice location
4606 FM 1960 Rd W
Suite 545
Houston, TX 77069-4600
Mailing address
4606 FM 1960 Rd W
Suite 545
Houston, TX 77069-4600
Phone (281) 639-3024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135456503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Psychiatry | Past | Accepting new patients |
| Ut Physicians | Past | Accepting new patients | |
| University of Texas Health Science Center at Houston | Psychiatry | Past | Accepting new patients |
| The University of Texas Health Science Center at Houston | Past | Accepting new patients | |
| University of Texas Health Science Center at Houston | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Specialty Pharmacy
- Houston, TX
- NPI 1174710636
-
- Psychiatry Physician
- Houston, TX
- NPI 1770739088
-
- Clinical Pathology/Laboratory Medicine Physician
- Houston, TX
- NPI 1831142751
-
- Health Educator
- Houston, TX
- NPI 1316534472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1073595161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 FM 1960 RD W",
"address_2": "SUITE 545",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694600",
"telephone_number": "281-639-3024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 FM 1960 RD W",
"address_2": "SUITE 545",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694600",
"telephone_number": "281-639-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDLE",
"first_name": "SONJA",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H0748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135456503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.