Patrick D Randolph PHD Inc
NPI 1740267285ActiveOrganization· Psychologist· Lubbock, TX
Psychologist in Lubbock, Texas, registered in NPPES in December 2005. The authorized official on file is Stephanie Stimac, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740267285 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2005 |
| Last updated in NPPES | Jan 4, 2024 |
| Certified by provider | Jan 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 24796 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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