Organization Active NPI

Root Group Psychological Corporation

  • Psychologist
  • Santa Clarita, CA
National Provider Identifier
1265291819
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ROOT GROUP PSYCHOLOGICAL CORPORATION
Practice address
27943 Seco Canyon Rd # 431
Santa Clarita, CA 91350-3872
Phone
(818) 212-4693
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Dr. Madison RandolphNPI 1053989988
Title
Ceo
Phone
(661) 388-0384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory

Locations

27943 Seco Canyon Rd
#431
Santa Clarita, CA 91350
Phone (818) 212-4693

27943 Seco Canyon Rd
Ste 431
Santa Clarita, CA 91350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1265291819",
    "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": {
        "organization_name": "ROOT GROUP PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-388-0384",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • 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.