RANDOLPH BEHAVIORAL HEALTH SERVICES, INC. – Community/Behavioral Health Agency, NPI 1275079097
Community/Behavioral Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RANDOLPH BEHAVIORAL HEALTH SERVICES, INC.
5700 Lake Worth Rd Ste 106
Greenacres, FL 334633213
Phone: (561) 727-8635
Type: Location
4 Frank Leary Way Unit 4
Randolph, MA 023684512
Phone: (781) 885-7530
Fax: (855) 284-1305
Type: Location
1500 Gateway Blvd Ste 220
Boynton Beach, FL 334267233
Phone: (781) 437-7507
Type: Location
966 Park St Ste A2
Stoughton, MA 020723664
Phone: (781) 885-7530
Type: Location
108, Warren Street, Randolph, Norfolk County, Massachusetts, 02368, United States
RANDOLPH, MA 023684018
Phone:
Type: Mailing
Frank Leary Way, Randolph, Norfolk County, Massachusetts, 02368, United States
RANDOLPH, MA 023684512
Phone: (781) 885-7530
Fax: (855) 284-1305
Type: Location
966 PARK ST STE A2
STOUGHTON, MA 020723664
Phone: (781) 885-7530
Type: Location
PO BOX 4414
BOYNTON BEACH, FL 334244414
Phone: (781) 885-7530
Type: Mailing
21 MAZZEO DR STE 102
RANDOLPH, MA 023683448
Phone: (781) 885-7530
Type: Location
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: 2023-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (651 days ago).
Enrollment records
1
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190320001560 | O | Clinic/Group Practice | MA | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 33463)
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