Dyane L Randle, IMF

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

73635 Issued in CA

Practice address

908 Tuolumne St
Vallejo, CA 94590-4641

Phone

(707) 648-8121

Fax

(707) 648-8129

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1336287226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 KEESLER CIR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856326",
            "telephone_number": "707-761-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945904641",
            "telephone_number": "707-648-8121",
            "fax_number": "707-648-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "DYANE",
        "middle_name": "L",
        "credential": "IMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "73635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Ramos, PT, DPT
• Wilton Keith Ramos, OTR/L
• Sarita Rene Ramot, COUNSELOR
• William Joseph Ramsdal
• Kushwantjit Singh Randhawa, DDS
• Margaret L Randle, M.S. CCC-SLP
• Kalpana Sathyanarayana Rao, M.D.
• Christopher Rapacon
• Rita Rae Rapacon
• Naomi J. Rapport, MD

• Mental Health Counselor in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.