Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John James Randolph, PHD

Individual provider Clinical Neuropsychologist · NPI 1700881463

Dr. John James Randolph, PHD is a Clinical Psychologist in Lebanon, New Hampshire. Graduated from Geisel School of Medicine at Dartmouth in 2005, 21 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Hampshire.

Years since qualifying
21
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
NH
In the registry since
2005
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

20 W Park St Ste 215
Lebanon, NH 03766-1378
Phone: (603) 448-6779
Fax: (603) 653-0246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 1027 (NH)
Psychologist Taxonomy 103T00000X · Licence 1027 (NH)

Record details

NPI number1700881463
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 17, 2005
Last updated in NPPESMarch 4, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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