RANDY L TELANDER (PH.D.) – Clinical Psychologist, NPI 1487691994

RANDY L TELANDER (PH.D.) is a healthcare provider. based in Columbia, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2006000183 (MO). The NPI Number for RANDY L TELANDER (PH.D.) is 1487691994

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
RANDY L TELANDER (PH.D.)
NPI
1487691994
Phone
(573) 489-8573
Address
1302 STABLESTONE LN
Enumeration Date
1 June 2006
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883656271
Graduation Year
2004 (22 years ago)
PAC ID
2466467329
Group Practice PAC ID
2264337013
Professional Enrollment ID
I20060214000153
Address ID
MO652015423CO3300XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

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Provider Addresses for RANDY L TELANDER (PH.D.)

  • 1302 STABLESTONE LN

    COLUMBIA, MO 652012892

    Phone: (573) 489-8573

    Type: Mailing

  • 600, East 5th Street, Fulton, Callaway County, Missouri, 65251, United States

    FULTON, MO 652511753

    Phone: (573) 592-2623

    Type: Location

  • 3805, Dublin Avenue, Columbia, Boone County, Missouri, 65203, United States

    COLUMBIA, MO 652035334

    Phone:

    Type: Mailing

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: 2006-02-14

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
I20060214000153IClinical PsychologistMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes6212$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 65201)

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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: 2264337013View full group profile

Reviews

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Frequently asked questions

What is the registry number for RANDY L TELANDER (PH.D.)?
The registry entry for RANDY L TELANDER (PH.D.) shows NPI 1487691994.
Does the public listing show RANDY L TELANDER (PH.D.) as active?
RANDY L TELANDER (PH.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits RANDY L TELANDER (PH.D.)?
NPPES ties RANDY L TELANDER (PH.D.) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RANDY L TELANDER (PH.D.)?
RANDY L TELANDER (PH.D.) is associated with Columbia, Missouri in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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