Erica Beachy-Randall, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10985 Issued in MA

Practice address

26 Calamint Hill Rd N
Princeton, MA 01541-1718

Phone

(801) 699-3536

NPI assigned

Aug 31, 2012

Last updated

Jan 10, 2023By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

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.

• Meditelecare of Massachusetts, PLLC

  • Clinical Psychologist
  • Boston, MA
  • NPI 1003496506
  Medicare reassignment NPD
• Medoptions of New Hampshire LLC

  • Psychiatry Physician
  • Concord, NH
  • NPI 1033567748

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1982953352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 STATE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092202",
            "telephone_number": "860-788-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALAMINT HILL RD N",
            "city": "PRINCETON",
            "state": "MA",
            "postal_code": "015411718",
            "telephone_number": "801-699-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHY-RANDALL",
        "first_name": "ERICA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10985",
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Brent Collins Sr., R.PH
• Awa Dieye-Lander, STUDENT
• Rosemary Ngozi Emordi
• Paris Day Henderson, M.ED., BCBA
• Kendra Ann Johnson, CCC-SLP

• Clinical Psychologist in Princeton, MA
• Providers in Princeton, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.