Randall Keith Cullen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21235 Issued in WI

Practice address

6333 Odana Rd Ste 20
Madison, WI 53719-1170

Phone

(608) 212-4822

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Counseling & Development Center

  • Mental Health Counselor
  • Phillips, WI
  • NPI 1760524854
  Medicare reassignment NPD
• Goodman's Behavioral Health Clinic, LLC

  • Community/Behavioral Health Agency
  • Reedsburg, WI
  • NPI 1740458363
  Medicare reassignment NPD
• Mile Bluff Medical Center Inc

  dba Mile Bluff ER/UC Providers

  • Emergency Medicine Physician
  • Mauston, WI
  • NPI 1609912005
  Medicare reassignment NPD
• Taylor County

  • Community/Behavioral Health Agency
  • Medford, WI
  • NPI 1801092374
  Medicare reassignment NPD
• Tellurian, Inc.

  • Community/Behavioral Health Agency
  • Monona, WI
  • NPI 1740213776
  Medicare reassignment NPD
• Mile Bluff Medical Center Inc

  dba Mile Bluff Urgent Care

  • Urgent Care Clinic/Center
  • Mauston, WI
  • NPI 1437958683
  NPD
• Taylor County

  dba Taylor County Health Department

  • Public Health or Welfare Agency
  • Medford, WI
  • NPI 1710173281
  NPD
• Tellurian, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monona, WI
  • NPI 1235302480
  NPD
• Tellurian, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monona, WI
  • NPI 1043487697
  NPD (past)
• Tellurian, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Monona, WI
  • NPI 1609129410
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1255368346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W SKYLINE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051135",
            "telephone_number": "608-212-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 ODANA RD STE 20",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191170",
            "telephone_number": "608-212-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "RANDALL",
        "middle_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "21235",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "21235",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31687500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "21235",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roshni Culas, MD
• Cullain LLC
• Caitlin Cullen, PA-C
• Megan M Cullen, LPC, CSAC
• Nora K Cullen, PA-C
• Michael J. Cullenward, MD
• Judi M Culver, MA, LPC
• Kathryn M Culver
• Erin M Cummings
• Jonathon Scot Cummock

• Psychiatry Physician in Madison, WI
• Providers in Madison, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.