Diane L. Randall, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006563 Issued in IL

Practice address

109 Dundee Ave
Barrington, IL 60010-4201

Phone

(847) 446-7636

NPI assigned

Jan 22, 2007

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diane Randall Clinical Services PC

  • Clinical Psychologist
  • Barrington, IL
  • NPI 1952969412
  Medicare reassignment NPD Authorized official
• J B Day, Inc.

  dba Be Well Counseling & Wellness

  • Clinical Social Worker
  • Barrington, IL
  • NPI 1811492481
  Medicare reassignment NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1871647628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DUNDEE AVE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104201",
            "telephone_number": "847-446-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DUNDEE AVE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104201",
            "telephone_number": "847-446-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "DIANE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Purnell, L.C.P.C.
• Rebecca Ashley Purse, LSW
• Jalaja Puthuvalil
• Jennifer Quintas, MAT, LAT, ATC
• Africa Latress Rainey, LCPC
• Randy Zimmerman M.D.,P.C.
• Rosio Eloisa Rangel, LCSW
• Kimberly Ann Rapach, LCSW
• Brittany E Rasky, LCSW
• Anna T. Razes, LCSW

• Clinical Psychologist in Barrington, IL
• Providers in Barrington, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.