DR. KEVIN LEE RAND (PH.D.) – Health Service Psychologist, NPI 1619449329

DR. KEVIN LEE RAND (PH.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 20042474A (IN). The NPI Number for DR. KEVIN LEE RAND (PH.D.) is 1619449329

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN LEE RAND (PH.D.)
NPI
1619449329
Phone
(317) 923-2333
Address
4401 CENTRAL AVE
Enumeration Date
19 December 2018
Last Update Date
19 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122920738
Graduation Year
2006 (20 years ago)
PAC ID
3779822382
Group Practice PAC ID
5799168506
Professional Enrollment ID
I20190226002276
Address ID
IN462901079CA10293STXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

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Provider Addresses for DR. KEVIN LEE RAND (PH.D.)

  • 4401, Central Avenue, Oliver Johnson's Woods, Meridian Kessler, Indianapolis, Marion, Indiana, 46205, United States

    INDIANAPOLIS, IN 462051822

    Phone: (317) 923-2333

    Fax: (317) 923-2367

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190226002276IClinical PsychologistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799168506View full group profile
NameSpecialtyState
Clinical PsychologistIN
Clinical PsychologistIN
Clinical PsychologistIN
Clinical PsychologistIN
Mental Health CounselorIN
Clinical PsychologistIN
Clinical PsychologistIN
Clinical PsychologistIN
Clinical PsychologistIN

Reviews

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Frequently asked questions

What federal number belongs to DR. KEVIN LEE RAND (PH.D.)?
The federal identifier for DR. KEVIN LEE RAND (PH.D.) is NPI 1619449329.
Is DR. KEVIN LEE RAND (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. KEVIN LEE RAND (PH.D.) work in?
You can think of DR. KEVIN LEE RAND (PH.D.) as practicing within Health Service Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KEVIN LEE RAND (PH.D.)?
The snapshot lists Indianapolis, Indiana for DR. KEVIN LEE RAND (PH.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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