MID-AMERICA PSYCHOLOGICAL SERVICES, P. C.
NPI 1376682641
Social Worker - Clinical in Portage, MI
About Mid-america Psychological Services, P. C. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID-AMERICA PSYCHOLOGICAL SERVICES, P. C. (NPI 1376682641) is a healthcare organization registered as a clinical in Portage, Michigan and active in the NPI registry since February 2007. The organization lists Charles Clearwater, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Mid-america Psychological Services, P. C. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 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
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Mid-America Psychological Services, P. C., which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Kalamazoo, MI 49009
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 Mid-America Psychological Services, P. C.'s NPI number?
The NPI number for Mid-America Psychological Services, P. C. is 1376682641. It was assigned to this organization in the NPPES registry on February 5, 2007.
Where is Mid-America Psychological Services, P. C. located?
Mid-America Psychological Services, P. C. is located at 8036 Moors Bridge Rd Suite 2, Portage, MI 49024. The listed phone number is (269) 327-1438.
What is Mid-America Psychological Services, P. C.'s specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mid-America Psychological Services, P. C. enrolled in Medicare?
Yes. Mid-America Psychological Services, P. C. is registered in the Medicare PECOS enrollment system.
When is Mid-America Psychological Services, P. C.'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 October 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 Mid-America Psychological Services, P. C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Mid-America Psychological Services, P. C.. 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 (5) and Mental Health Counselor (1). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mid-America Psychological Services, P. C. accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mid-America Psychological Services, P. C. 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 Mid-America Psychological Services, P. C. was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mid-America Psychological Services, P. C. · NPI 1376682641
Clinical organization in Portage, Michigan. Organization record, active in the CMS NPPES registry since February 5, 2007.
## Identity
- **NPI:** 1376682641 (Entity type: Organization)
- **Enumerated:** February 5, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Charles Clearwater, OWNER/PRESIDENT
## Practice location
- **Address:** 8036 MOORS BRIDGE RD, SUITE 2, Portage, MI 49024-4419
- **Phone:** (269) 327-1438 · **Fax:** (269) 327-6454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (5), Clinical Social Worker (5), Mental Health Counselor (1); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2025
- **Other identifiers:** Other 800C962000 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376682641) · Data from the CMS NPPES public registry.