Randy S Daron, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY23305 Issued in CA

Practice address

18 E Blithedale Ave
Ste 14
Mill Valley, CA 94941-1946

Phone

(415) 935-4407

Fax

(415) 381-2205

NPI assigned

May 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1467808170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E BLITHEDALE AVE",
            "address_2": "SUITE 14",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411908",
            "telephone_number": "415-935-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E BLITHEDALE AVE",
            "address_2": "STE 14",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411946",
            "telephone_number": "415-935-4407",
            "fax_number": "415-381-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARON",
        "first_name": "RANDY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Elizabeth Czuchra, LAC
• Caroline Mary Daate, MA
• Lori A Dali, RD, CNSD
• Grace Dammann, M.D.
• Minh Cam Dang, PHARMD
• Darren D Wong DDS Inc
• Arian June Dasmalchi, AMFT, APCC
• Amanda Leah Dauphinee, PT, DPT
• David a Laub MD, a Professional Corporation
• David Harold Berman, M.D., a Medical Corporation

• Psychologist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.