Randy E Stotland, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY5946 Issued in CA

Practice address

4382 Rous St
San Diego, CA 92122-2631

Phone

(858) 558-7342

Fax

(858) 492-7290

NPI assigned

Nov 12, 2009

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1457688327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 GOVERNOR DR # F249",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222936",
            "telephone_number": "858-558-7342",
            "fax_number": "858-492-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4382 ROUS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222631",
            "telephone_number": "858-558-7342",
            "fax_number": "858-492-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTLAND",
        "first_name": "RANDY",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY5946",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Brian Storrs, PH D
• Kenneth Allen Storum, DDS
• Amanda Story
• Brittny Story, SUDRC #20904
• Fran Story
• Curtis Vincent Stoughton, SFIDC
• Daniel Stout, M.S.
• Jamison Marie Stout, MD
• Shelley Stout
• Kenneth Stover, DO

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.