AMANPREET RANDAZZO (PSYD) – Clinical Psychologist, NPI 1467696823

AMANPREET RANDAZZO (PSYD) is a healthcare provider. based in Southlake, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. P.08602 (OH). The NPI Number for AMANPREET RANDAZZO (PSYD) is 1467696823

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
AMANPREET RANDAZZO (PSYD)
NPI
1467696823
Phone
(908) 720-3118
Address
1009 BERKSHIRE RD
Enumeration Date
28 April 2009
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135220777
Graduation Year
2006 (20 years ago)
PAC ID
6800948480
Group Practice PAC ID
9638196785
Professional Enrollment ID
I20240417002765
Address ID
OH452315218CI7105XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for AMANPREET RANDAZZO (PSYD)

  • 1009, Berkshire Road, Shady Oaks, Southlake, Tarrant County, Texas, 76092, United States

    SOUTHLAKE, TX 760924911

    Phone: (908) 720-3118

    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: 2024-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090713000054IClinical PsychologistTXTBD
I20240417002765IClinical PsychologistOHTBD

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
90837Psychotherapy, 1 hour1,583371$0
96133Evaluation of neuropsychological test, each additional hour452144$0
96137Administration of psychological or neuropsychological test, each additional 30 minutes41289$0
90791Psychiatric diagnostic evaluation201199$0
96132Evaluation of neuropsychological test, first hour145143$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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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: 9638196785View full group profile
NameSpecialtyState
Clinical PsychologistOH
-OH
Clinical PsychologistOH
Clinical PsychologistOH
Clinical PsychologistOH
-OH
Clinical PsychologistOH

Reviews

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Frequently asked questions

What is AMANPREET RANDAZZO (PSYD)'s NPI number?
AMANPREET RANDAZZO (PSYD)'s NPI is 1467696823 — the number used across U.S. healthcare to identify this provider.
Is AMANPREET RANDAZZO (PSYD) shown as active in public data?
Registry records indicate AMANPREET RANDAZZO (PSYD) maintains an active NPI.
What area of care is associated with AMANPREET RANDAZZO (PSYD)?
AMANPREET RANDAZZO (PSYD)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Texas is AMANPREET RANDAZZO (PSYD) registered?
Use Southlake, Texas as the headline location for AMANPREET RANDAZZO (PSYD) here.
When was this NPI issued?
Enumeration for AMANPREET RANDAZZO (PSYD) is noted as April 28, 2009 where the registry provides it.

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