Patricia Randolph, MA, PH.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC25109 Issued in CA

Practice address

2900 Adams St
Riverside, CA 92504-4335

Phone

(951) 205-5883

Fax

(951) 898-9858

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942345632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SANTA ANITA AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012918",
            "telephone_number": "626-482-4021",
            "fax_number": "951-898-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 ADAMS ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044335",
            "telephone_number": "951-205-5883",
            "fax_number": "951-898-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "PATRICIA",
        "credential": "MA, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC25109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurkiran Randhawa, FNP
• Navdeep Randhawa
• Rawel Singh Randhawa, M.D.
• Kobe Randle
• Sharda Randle
• Emerald Raney
• Ramani N Rangavajhula, MD
• Juan Rangel Lopez
• Mariela Rangel Valdez, MS
• Angelica Rangel

• Mental Health Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.