Randy Dean, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301407378 Issued in MI

Practice address

E-4111 Andover Road
Suite 220
Bloomfield Hills, MI 48302-1909

Phone

(248) 290-5400

Fax

(248) 290-5401

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 5, 2019 through Mar 5, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Sanjeev Venkataraman, MD, PLC

  • Psychiatry Physician
  • Bloomfield Hills, MI
  • NPI 1447640792
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1831216258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E-4111 ANDOVER ROAD",
            "address_2": "SUITE 220",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021909",
            "telephone_number": "248-290-5400",
            "fax_number": "248-290-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E-4111 ANDOVER ROAD",
            "address_2": "SUITE 220",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021909",
            "telephone_number": "248-290-5400",
            "fax_number": "248-290-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "RANDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301407378",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301407378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick James Davis, D.D.S
• Samantha Davis
• Christophe Brundage Dean, DC
• Denise Dean, M.P.T.
• Jonathan Gifford Dean, D.C.
• Dearborn Oncology Associates PC
• Debora L. Ferguson, M.D.
• Gianni Sante Decarolis, D.M.D
• Mosab Ramzi Muhi Deen, D.O.
• Cassius Deflon, MD

• Psychiatry Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.

Verify at the official NPI Registry.