Active NPI
Randall Hampton Rattan, PH.D., ABPP
- Clinical Psychologist
- El Paso, TX
National Provider Identifier
1841637998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 25571
- Practice address
- 7717 Lockheed, Suite E
El Paso, TX 79925 - Phone
- (972) 948-3604
- NPI assigned
- May 30, 2013
- Last updated
- May 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 25571 | TX | Primary |
Addresses
Primary practice location
7717 Lockheed, Suite E
El Paso, TX 79925
Mailing address
4425 Mockingbird Lane
Dallas, TX 75205
Phone (972) 948-3604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25571 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1841637998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 MOCKINGBIRD LANE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75205",
"telephone_number": "972-948-3604",
"fax_number": "214-521-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 LOCKHEED, SUITE E",
"city": "EL PASO",
"state": "TX",
"postal_code": "79925",
"telephone_number": "972-948-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATTAN",
"first_name": "RANDALL",
"middle_name": "HAMPTON",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "25571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.