RIVER CITY PSYCHOLOGICAL SERVICES PC
NPI 1235557844
Psychologist - Clinical in Grand Rapids, MI
About River City Psychological Services Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVER CITY PSYCHOLOGICAL SERVICES PC (NPI 1235557844) is a healthcare organization registered as a clinical in Grand Rapids, Michigan and active in the NPI registry since April 2014. The organization maintains a secondary practice location in Grand Rapids and lists Rebecca Klott, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
River City Psychological Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to River City Psychological Services PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is River City Psychological Services PC's NPI number?
The NPI number for River City Psychological Services PC is 1235557844. It was assigned to this organization in the NPPES registry on April 1, 2014.
Where is River City Psychological Services PC located?
River City Psychological Services PC is located at 1000 Monroe Ave NW, Grand Rapids, MI 49503. The listed phone number is (616) 259-7207.
What is River City Psychological Services PC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is River City Psychological Services PC enrolled in Medicare?
Yes. River City Psychological Services PC is registered in the Medicare PECOS enrollment system.
When is River City Psychological Services PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through River City Psychological Services PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to River City Psychological Services PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (5), Clinical Social Worker (2) and Mental Health Counselor (2). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does River City Psychological Services PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list River City Psychological Services PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for River City Psychological Services PC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# River City Psychological Services Pc · NPI 1235557844
Clinical organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since April 1, 2014.
## Identity
- **NPI:** 1235557844 (Entity type: Organization)
- **Enumerated:** April 1, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Rebecca Klott, OWNER
## Practice location
- **Address:** 1000 MONROE AVE NW, Grand Rapids, MI 49503-1455
- **Phone:** (616) 259-7207
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (5), Clinical Social Worker (2), Mental Health Counselor (2); 7 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1235557844) · Data from the CMS NPPES public registry.