Active NPI
Randie Schacter, DO
- Child & Adolescent Psychiatry Physician
- Matthews, NC
National Provider Identifier
1568434801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 200501583
- Practice address
- 212 W Matthews St Ste 106
Matthews, NC 28105-5442 - Phone
- (704) 847-0424
- Fax
- (704) 847-0454
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200501583 | NC | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 200501583 | NC | Primary |
Addresses
Primary practice location
212 W Matthews St Ste 106
Matthews, NC 28105-5442
Mailing address
212 W Matthews St Ste 106
Matthews, NC 28105-5442
Phone (704) 847-0424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N01580 | Medicaid | SC | |
| 5902850 | Medicaid | NC |
Other names 1
- Randie Fitzgerald
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 19, 2018 through Jan 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501583 | NC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1568434801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 W MATTHEWS ST STE 106",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055442",
"telephone_number": "704-847-0424",
"fax_number": "704-847-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W MATTHEWS ST STE 106",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055442",
"telephone_number": "704-847-0424",
"fax_number": "704-847-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHACTER",
"first_name": "RANDIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200501583",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "200501583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N01580",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902850",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RANDIE",
"last_name": "FITZGERALD",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.