Individual provider Active NPI

Alynda Randolph, PSY.D.

  • Psychologist
  • Birmingham, AL
National Provider Identifier
1386177673
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
07006 Issued in MD
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

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY004374GAMDClinical Psychologist
07006MDMDSpeech-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

Verify at the official NPI Registry.