Randi Lynn Mittleman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD069088L Issued in PA

Practice address

54 Friends LN Ste 114
Newtown, PA 18940-3403

Phone

(215) 431-4847

Fax

(215) 295-2704

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Psychiatry

Education

Medical College of Pennsylvania, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Agnese Psychological, Inc.

  • Community/Behavioral Health Agency
  • Newtown, PA
  • NPI 1528568615
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1285655720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FRAZER DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190674763",
            "telephone_number": "267-291-4220",
            "fax_number": "215-295-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 FRIENDS LN STE 114",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403403",
            "telephone_number": "215-431-4847",
            "fax_number": "215-295-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTLEMAN",
        "first_name": "RANDI",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD069088L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01755217",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora Minno, RD
• Adele F Minton, MCAT, LPC, ATR-BC
• Chloe M Mirande, LBS
• Barbara Mirth-Jacobelli, DO
• Melissa Mishler, PHARM D
• Mobile Audiology Associates, P.C. (HealthDrive Audiology Group)
• Joanne Elizabeth Moeller-Moon, LPC
• Stephanie Marie Molden, MD
• Robert E Monk III, D.C.
• Juana Ki Moody, MS, ATC

• Psychiatry Physician in Newtown, PA
• Providers in Newtown, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.