Dr. Robert Louis Randolph , PhD
Psychologist - Clinical • Jackson, CA
This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Randolph has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Randolph, PhD was a registered Psychologist - Clinical practicing in Jackson, CA. Throughout an active medical career spanning 11 years, Dr. Randolph provided care at the practice location at 320 COURT ST until profile deactivation on 2018-05-18.
Practice Location & Contact Primary Location
320 Court St
Ste. 3
Jackson, CA 956422106
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist - Clinical in Jackson, CA
Practicing in Jackson, CA (13237 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103TC0700X
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Marriage & Family Therapist
Marriage and Family Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 18, 2018
NPI status registered as active in NPPES database
Registered at 320 COURT ST, STE. 3, JACKSON, CA 956422106 (Tel: 2092231151)
Registered at 4806 DONYA DR, MOKELUMNE HILL, CA 952459693 (Tel: 2092861190)
Recorded as ROBERT RANDOLPH, PH.D.
Psychologist (License #PSY9893 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4806 Donya Dr
Mokelumne Hill, CA 952459693
Phone: 2092861190
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