Individual provider Active NPI

Randall S Nero, PHD

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1235212515
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2009 Issued in MD
Practice address
8307 Philadelphia Road
Baltimore, MD 21237
Phone
(410) 687-7700
Fax
(410) 687-7702
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2009 MD Primary

Addresses

Primary practice location

8307 Philadelphia Road
Baltimore, MD 21237

Mailing address

8307 Philadelphia Road
Baltimore, MD 21237
Phone (410) 687-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20101115001072 MD Practitioner - Clinical Psychologist 9830384924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel P. Strickler, PH.D., P.a.Group PAC ID 1456547330, 2 clinicians

Practice addresses (Care Compare)

6304 Kenwood Ave
Suite 2a
Baltimore, MD 21237-2085
Phone (410) 687-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2009MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel P. Strickler, PH.D., P.a. Clinical CurrentSince Nov 30, 1987 Accepting new patients

Locations

8307 Philadelphia Rd
Rosedale, MD 21237
Phone (410) 200-9276

6304 Kenwood Ave
Ste 2A
Rosedale, MD 21237
Phone (410) 687-7700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235212515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 PHILADELPHIA ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-687-7700",
            "fax_number": "410-687-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 PHILADELPHIA ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-687-7700",
            "fax_number": "410-687-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERO",
        "first_name": "RANDALL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.