Randolph Behavioral Health Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RANDOLPH BEHAVIORAL HEALTH SERVICES, INC.

Practice address

5700 Lake Worth Rd Ste 106
Greenacres, FL 33463-3213

Phone

(561) 727-8635

Fax

(855) 284-1305

NPI assigned

Oct 24, 2022

Last updated

Apr 22, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

RANDOLPH BEHAVIORAL HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Daphne Rollande ClaudomirNPI 1063714384

Title

Clinic Director

Phone

(561) 727-8635

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Randolph Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Randolph, MA
  • NPI 1275079097

  O20231214002417

  Same enrollment

Tax ID family

Randolph Behavioral Health Services Inc2 organizations share this tax ID, including this one

Part of

Randolph Behavioral Health Services Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Randolph Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Randolph, MA
  • NPI 1275079097
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daphne Rollande Claudomir, M. ED.

  • Mental Health Counselor
  • Stoughton, MA
  • NPI 1063714384
  NPD Authorized official
• Justin Michael Mortimer, MD

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1013277656
  NPD
• Celestine Marie Holt, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • South Hadley, MA
  • NPI 1962741009
  NPD
• Monique N Tucker-Rhudd, MSW

  • Clinical Social Worker
  • Jamaica Plain, MA
  • NPI 1821246455

  Mental Health

  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1699492470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4414",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334244414",
            "telephone_number": "561-727-8635",
            "fax_number": "561-727-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD STE 106",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633213",
            "telephone_number": "561-727-8635",
            "fax_number": "855-284-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Lake Worth Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334633213",
            "country_code": "US",
            "telephone_number": "561-727-8635",
            "fax_number": "561-727-8684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANDOLPH BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDOLPH BEHAVIORAL HEALTH SERVICES, INC.",
        "enumeration_date": "2022-10-24",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "CLAUDOMIR",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "ROLLANDE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "561-727-8635"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aljady Ramirez
• Yarilin Ramirez
• Yamila Ramos Alfonso
• Ana Ramos, MSW, CFLE
• Shade Randle
• Randolph Behavioral Health Services, Inc. (Randolph DME)
• David Rangel
• Christina S. Raphael, RD
• Kathleen S Rathbun-Duncan, D O
• Tamika Rawleigh, MA

• Community/Behavioral Health Agency in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.