DR. RANDOLPH PHILIP ROUNTREE M.D., PSY.D.
NPI 1891064150
Psychologist - Prescribing (Medical) in Las Cruces, NM

NPI Status: Active since December 15, 2011

Contact Information

1505 S DON ROSER DR STE A
LAS CRUCES, NM
ZIP 88011
Phone: (719) 238-9111

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  • Individual
  • Male
  • Psychologist
  • Prescribing (Medical)
  • Accepts Insurance
  • PECOS Enrolled

About RANDOLPH ROUNTREE

This page provides the complete NPI Profile along with additional information for Randolph Rountree, a provider established in Las Cruces, New Mexico with a medical specialization in Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1891064150 assigned on December 2011. The practitioner's primary taxonomy code is 103TP0016X with license number C0076 (NM). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1891064150
Provider Name
DR. RANDOLPH PHILIP ROUNTREE M.D., PSY.D.
Other Name
DR. RANDOLPH PHILIP ROUNTREE MD, PSYD
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
1505 S DON ROSER DR STE A LAS CRUCES, NM 88011
Location Phone
(719) 238-9111
Mailing Address
PO BOX 2005 WOODLAND PARK, CO 80866
Mailing Phone
(719) 238-9111
Is Sole Proprietor?
Yes
Enumeration Date
12-15-2011
Last Update Date
12-20-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Prescribing (Medical)

Taxonomy Code
103TP0016X
Type
Behavioral Health & Social Service Providers
License No.
C0076
License State
NM
Taxonomy Description
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

3689 (CO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Randolph Rountree is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. RANDOLPH PHILIP ROUNTREE M.D., PSY.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891064150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28181068110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 0 + 6 + 8 + 1 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1891064150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386309797LAZARO SURGICAL SUITES LLC
Organization
Clinic/Center (Ophthalmologic Surgery)1505 S DON ROSER DR STE A
LAS CRUCES, NM 88011
(575) 522-7676
1821177155MR. RICHARD W LAZARO MD
Individual
Ophthalmology1505 S DON ROSER DR STE A
LAS CRUCES, NM 88011
(575) 522-7676
1700772886 DHALEA MACIAS
Individual
Counselor (Mental Health)1505 S DON ROSER DR STE A
LAS CRUCES, NM 88011
(575) 680-0682

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891064150, enumerated in the NPI registry as an "individual" on December 15, 2011

The provider is located at 1505 S Don Roser Dr Ste A Las Cruces, Nm 88011 and the phone number is (719) 238-9111

The provider's speciality is Psychologist with taxonomy code 103TP0016X with a focus in Prescribing (Medical)

The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on December 15, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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