Active NPI
Randi S Dorn, ED.D., ABPP
- Clinical Psychologist
- Lowell, MA
National Provider Identifier
1316908841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1797
- Practice address
- 77 E Merrimack St
Lowell, MA 01852-1251 - Phone
- (978) 452-3711
- Fax
- (978) 441-9351
- NPI assigned
- Apr 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1797 | MA | Primary |
Addresses
Primary practice location
77 E Merrimack St
Lowell, MA 01852-1251
Mailing address
72 Park LN
Harvard, MA 01451-1436
Phone (978) 452-3711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100120000678 | MA | Practitioner - Clinical Psychologist | 2961544580 | Practice locations: Leominster, MA; Lowell, MA; Tisbury, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Boston University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
77 E Merrimack St
Suite 23
Lowell, MA 01852-1900
Phone 97845237117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1797 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316908841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 PARK LN",
"city": "HARVARD",
"state": "MA",
"postal_code": "014511436",
"telephone_number": "978-452-3711",
"fax_number": "978-441-9351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 E MERRIMACK ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521251",
"telephone_number": "978-452-3711",
"fax_number": "978-441-9351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORN",
"first_name": "RANDI",
"middle_name": "S",
"credential": "ED.D., ABPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "1797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.