Individual provider Active NPI

Randi Schalet, PSYD

  • Psychologist
  • Roslindale, MA
National Provider Identifier
1437235991
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7268 Issued in MA
Practice address
26 Cummins Highway
Suite 2
Roslindale, MA 02131
Phone
(617) 327-1942
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7268 MA Primary

Addresses

Primary practice location

26 Cummins Highway
Suite 2
Roslindale, MA 02131

Mailing address

701 Southampton Rd Ste 102
Benicia, CA 94510-2075
Phone (707) 750-5721

Other practice location 1

701 Southampton Rd Ste 102
Benicia, CA 94510-2075
Phone (857) 540-9596

Other identifiers 3

IdentifierTypeStateIssuer
348602OtherMAMAGELLAN AETNA
W05714OtherMABLUE CROSS
0527092MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7268MAMDPsychologist
29638CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1437235991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SOUTHAMPTON RD STE 102",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102075",
            "telephone_number": "707-750-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CUMMINS HIGHWAY",
            "address_2": "SUITE 2",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "02131",
            "telephone_number": "617-327-1942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Southampton Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Benicia",
            "state": "CA",
            "postal_code": "945102075",
            "country_code": "US",
            "telephone_number": "857-540-9596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHALET",
        "first_name": "RANDI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN AETNA",
            "identifier": "348602",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "W05714",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0527092",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.