Individual provider Active NPI

Judith Ellen Rand, PH.D.

  • Clinical Psychologist
  • Mesa, AZ
National Provider Identifier
1609004043
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4022 Issued in AZ
Practice address
1845 S Dobson Rd Ste 106
Mesa, AZ 85202-5662
Phone
(480) 466-7010
Fax
(480) 219-5254
NPI assigned
Jun 24, 2009
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4022 AZ Primary

Addresses

Primary practice location

1845 S Dobson Rd Ste 106
Mesa, AZ 85202-5662

Mailing address

PO Box 93575
Phoenix, AZ 85070-3575
Phone (480) 399-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20220711001655 AZ Practitioner - Clinical Psychologist 0446304216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1845 S Dobson Rd
Suite 106
Mesa, AZ 85202-5662
Phone (480) 466-7010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Practice of Judith Rand PHD PLC Clinical CurrentSince Apr 1, 2022 Accepting new patients
Heal Az Counseling and Wellness Center PLLC Clinical Past Accepting new patients
Deer Oaks Southwest Clinical Past Accepting new patients
Diane Park MD LLC Past Accepting new patients

Locations

1845 S Dobson Rd
Ste 106
Mesa, AZ 85202
Phone (480) 466-7010

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1609004043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93575",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850703575",
            "telephone_number": "480-399-6100",
            "fax_number": "210-593-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025662",
            "telephone_number": "480-466-7010",
            "fax_number": "480-219-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAND",
        "first_name": "JUDITH",
        "middle_name": "ELLEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.