Individual provider Active NPI

Tanya Michelle Randolph-Elgin, PSY.D.

  • Clinical Psychologist
  • Stromsburg, NE
National Provider Identifier
1306930425
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
510 Issued in NE
Practice address
1356 126TH Rd
Stromsburg, NE 68666-6240
Phone
(402) 366-3411
Fax
(402) 764-4033
NPI assigned
Oct 3, 2006
Last updated
Mar 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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 510 NE Primary

Addresses

Primary practice location

1356 126TH Rd
Stromsburg, NE 68666-6240

Mailing address

1356 126TH Rd
Stromsburg, NE 68666-6240
Phone (402) 366-3411

Other practice location 1

822 N Lincoln Ave
York, NE 68467-2402
Phone (402) 366-3411

Other identifiers 5

IdentifierTypeStateIssuer
491000000OtherNEMAGELLAN
6866600OtherNETRIWEST
08468OtherNEBLUE CROSS BLUE SHIELD
559-692OtherNEVALUE OPTIONS
241839OtherNEMIDLANDS CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20091007000030 NE Practitioner - Clinical Psychologist 7517003494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1356 126TH Rd
Stromsburg, NE 68666-6240
Phone (402) 366-3411

4115 38TH St
Columbus, NE 68601-0001
Phone (402) 366-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
510NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hastings Radiology Associates PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774137600000",
    "number": "1306930425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 126TH RD",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686666240",
            "telephone_number": "402-366-3411",
            "fax_number": "402-764-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 126TH RD",
            "city": "STROMSBURG",
            "state": "NE",
            "postal_code": "686666240",
            "telephone_number": "402-366-3411",
            "fax_number": "402-764-4033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "NE",
            "postal_code": "684672402",
            "country_code": "US",
            "telephone_number": "402-366-3411",
            "fax_number": "402-764-4033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH-ELGIN",
        "first_name": "TANYA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "491000000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "6866600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08468",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "559-692",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "241839",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stromsburg, NE

Sources for this page

Verify at the official NPI Registry.