Dr Randi Nichols Mcdonald, PSYD is a
Psychologist - Clinical based in Shalimar, Florida. Dr Randi Nichols Mcdonald is licensed to practice in Florida (license number PY7940) and her current practice location is
1270 Eglin Pkwy, Suite C-12, Shalimar, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 613-6677.
NPI number for Dr Randi Nichols Mcdonald is 1619111721 and her current mailing address is 1270 Eglin Pkwy, Suite C-12, Shalimar, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619111721.
Healthcare Provider's Profile
| Full Name | Dr Randi Nichols Mcdonald |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1270 Eglin Pkwy, Shalimar, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619111721
- Provider Enumeration Date: 04/21/2009
- Last Update Date: 04/05/2013
Medical Identifiers
Medical identifiers for Dr Randi Nichols Mcdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619111721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY60026315 (Washington) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY7940 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randi Nichols Mcdonald is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Randi Nichols Mcdonald, PSYD
1270 Eglin Pkwy, Suite C-12,
Shalimar, FL 32579-2306
Ph: (850) 613-6677 | Dr Randi Nichols Mcdonald, PSYD
1270 Eglin Pkwy, Suite C-12,
Shalimar, FL 32579-2306
Ph: (850) 613-6677 |
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