Individual provider Active NPI

Randi Schnur, PH.D.

  • Clinical Psychologist
  • Kensington, CT
National Provider Identifier
1861501827
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001722 Issued in CT
Practice address
26 Chamberlain Hwy
Kensington, CT 06037-1921
Phone
(860) 893-0040
Fax
(860) 893-0046
NPI assigned
Aug 30, 2006
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 001722 CT
Clinical Psychologist 103TC0700X 001722 CT Primary

Addresses

Primary practice location

26 Chamberlain Hwy
Kensington, CT 06037-1921

Mailing address

26 Chamberlain Hwy
Kensington, CT 06037-1921
Phone (860) 893-0040

Other identifiers 6

IdentifierTypeStateIssuer
060001722CT02OtherANTHEM BC/BS
080194OtherMHN
P382518OtherOXFORD
4459559OtherAETNA
134311OtherVALUE OPTIONS
004133774MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100714000381 CT Practitioner - Clinical Psychologist 8921018672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Massachusetts Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paragon Behavioral Health, LLCGroup PAC ID 1850301508, 10 clinicians

Practice addresses (Care Compare)

26 Chamberlain Hwy
Kensington, CT 06037-1921
Phone 8608930040214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001722CTMDClinical Psychologist
1722CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Behavioral Health, LLC Psychologist CurrentSince Jun 1, 2001 Accepting new patients
Paragon Behavioral Health, LLC CurrentSince Jun 1, 2001 Accepting new patients
Paragon Behavioral Health, LLC Current Accepting new patients

Locations

26 Chamberlain Hwy
Kensington, CT 06037
Phone (860) 893-0040

Organizations & group practices 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1861501827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CHAMBERLAIN HWY",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371921",
            "telephone_number": "860-893-0040",
            "fax_number": "860-893-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CHAMBERLAIN HWY",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371921",
            "telephone_number": "860-893-0040",
            "fax_number": "860-893-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNUR",
        "first_name": "RANDI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001722",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "060001722CT02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "080194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P382518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4459559",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "134311",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004133774",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, CT

Sources for this page

Verify at the official NPI Registry.