Randolph Walters & Associates, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PC002890 Issued in PA

Legal business name

RANDOLPH WALTERS & ASSOCIATES, LLC

Practice address

1989 N 63Rd St
Suite 200
Philadelphia, PA 19151-2607

Phone

(610) 639-1729

Fax

(215) 878-8998

NPI assigned

Jan 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Randolph Windell Walters, PSY.D, LPCNPI 1598631921

Title

Founder/Director

Phone

(610) 639-1729

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randolph Walters, PSY.D

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1598631921
  NPD (past) Authorized official
• Vincent Lawrence Calloway, MSS, LCSW, CEAP

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1174009427
  NPD (past)

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

{
    "created_epoch": "1359244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359244800000",
    "number": "1700124666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 N 63RD ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512607",
            "telephone_number": "610-639-1729",
            "fax_number": "215-878-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 N 63RD ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512607",
            "telephone_number": "610-639-1729",
            "fax_number": "215-878-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH WALTERS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-27",
        "last_updated": "2013-01-27",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "WINDELL",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "610-639-1729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC002890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harbir Randhawa
• Jaskaran Randhawa
• Sandip Kaur Randhawa, OD
• Emily Randle
• Jennifer Rando, MT-BC
• Frederick Randolph, MD
• Frederick William Randolph, MD
• Khadijah Randolph, LPN
• Norman D. Randolph Jr., MD
• Sadia Randolph

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2013; 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.