Active NPI
Alynda Randolph, PSY.D.
- Psychologist
- Birmingham, AL
National Provider Identifier
1386177673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 07006
- Practice address
- 1234 3Rd Ave S
Birmingham, AL 35233-1311 - Phone
- (205) 202-1151
- NPI assigned
- Apr 4, 2017
- Reactivated
- Nov 22, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | 07006 | MD | Primary |
| Clinical Psychologist | 103TC0700X | PSY004374 | GA |
Addresses
Primary practice location
1234 3Rd Ave S
Birmingham, AL 35233-1311
Mailing address
8168 Elliott Rd Ste 1
Easton, MD 21601-7111
Phone (205) 202-1151
Other practice location 1
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone (205) 202-1151
Other practice location 2
825 Fairfax Ave
Suit 710
Norfolk, VA 23507-1914
Phone (757) 446-5881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY004374 | GA | MD | Clinical Psychologist |
| 07006 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1386177673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8168 ELLIOTT RD STE 1",
"city": "EASTON",
"state": "MD",
"postal_code": "216017111",
"telephone_number": "205-202-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 3RD AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331311",
"telephone_number": "205-202-1151"
}
],
"practiceLocations": [
{
"address_1": "5000 Thayer Ctr Ste C",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "MD",
"postal_code": "215501139",
"country_code": "US",
"telephone_number": "205-202-1151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Fairfax Ave",
"address_2": "Suit 710",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071914",
"country_code": "US",
"telephone_number": "757-446-5881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDOLPH",
"first_name": "ALYNDA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"deactivation_date": "2018-06-28",
"reactivation_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "07006",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY004374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.