Diane Randall Clinical Services PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DIANE RANDALL CLINICAL SERVICES PC

Practice address

109 Dundee Ave
Barrington, IL 60010-4201

Phone

(847) 446-7636

NPI assigned

May 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Diane L Randall, PSY.D.NPI 1871647628

Title

Licensed Clinical Psychologist

Phone

(847) 446-7636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane L. Randall, PSY.D.

  • Clinical Psychologist
  • Barrington, IL
  • NPI 1871647628
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1952969412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 BRISTOL DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104507",
            "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": [
        {
            "address_1": "509 W Main St",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600106827",
            "country_code": "US",
            "telephone_number": "847-446-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIANE RANDALL CLINICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-446-7636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Detig, M.S., CCC-SLP
• Margaret M Devault, P.A.-C
• Daniel J Dewitt, PHD
• Patricia H Dewitt, PHD
• Diagnostic Assessment and Student Advocacy Co
• Digitrace Care Services
• Thomas Anthony Digiulio, MD
• Boris Dilman, M.D.
• Nausheen Din, M.D
• John W. Distel, D.M.D., M.S.

• 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 Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.