Randi Frances Beckman, MA

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

251 Llewellyn Ave
San Jose, CA 95008

Phone

(408) 963-8033

NPI assigned

Jun 12, 2007

Reactivated

Jan 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• X X X Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wave Professional Clinical Counselors IncGroup PAC ID 6305153123, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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

• Wave Professional Clinical Counselors, Inc.

  • Community/Behavioral Health Agency
  • Carlsbad, CA
  • NPI 1700288768
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1386848679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-963-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 LLEWELLYN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-963-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMAN",
        "first_name": "RANDI",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2013-03-11",
        "deactivation_date": "2012-06-01",
        "reactivation_date": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "X",
            "last_name": "X",
            "middle_name": "X",
            "credential": "MA, MSW, ASW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Liza Bess Altszuler Becker, MD
• Mary Lenore Becker, LCSW
• Elias Beckett
• Dickson Thomas Beckley Jr.
• Michael David Beckman, MD
• Bedell Chiropractic Inc.
• Todd R Bedell, DC
• Mary Bedford-Carter, M.A
• Dalbir S Bedi, D.C.
• Teja Bedi, MD

• Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.

Verify at the official NPI Registry.