CLAYSTONE CLINICAL ASSOCIATES PLC
NPI 1619927142
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Active since May 12, 2006
2401 CAMELOT CT SE STE E, GRAND RAPIDS, MI 49546(616) 949-7460(616) 949-3018 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2024, Jul 21, 2022, Sep 13, 2017 (3 updates tracked since 2017).

About Claystone Clinical Associates Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAYSTONE CLINICAL ASSOCIATES PLC (NPI 1619927142) is a healthcare organization registered as a psychiatry in Grand Rapids, Michigan and active in the NPI registry since May 2006. The organization lists Mary Sue Bock, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619927142
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCLAYSTONE CLINICAL ASSOCIATES PLC
Location Address2401 CAMELOT CT SE STE EGrand Rapids, MI 49546-6083
Mailing Address2401 Camelot Ct Se Ste EGrand Rapids, MI 49546-6083 · (616) 949-7460 · Fax (616) 949-3018
Fax(616) 949-3018
Organization SubpartNo
Authorized OfficialMary Sue BockOffice Manager · (616) 949-7460
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1619927142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2401 CAMELOT CT SE STE E, Grand Rapids, MI 49546

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Claystone Clinical Associates Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20060223000035Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Claystone Clinical Associates Plc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Mental Health Counselor
NPI 1346659646
2401 CAMELOT CT SE STE E
Grand Rapids, MI 49546
(616) 648-2289
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1780663138
2401 CAMELOT CT SE STE E
Grand Rapids, MI 49546
(616) 648-2289
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1356312474
3330 CLAYSTONE ST SE
Grand Rapids, MI 49546
(616) 942-8060
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Social Worker
NPI 1386623643
3330 CLAYSTONE ST SE
Grand Rapids, MI 49546
(616) 942-8060
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Social Worker
NPI 1770735029
1101 BALL AVE NE
Grand Rapids, MI 49505
(616) 456-6571
✔ PECOS✔ Accepts Medicare5.1 mi
Mental Health Counselor
NPI 1689734642
40 JEFFERSON AVE SE
Grand Rapids, MI 49503
(616) 356-6285
✔ PECOS✔ Accepts Medicare5.2 mi
Clinical Social Worker
NPI 1619063898
75 SHELDON BLVD SE SUITE 100 & 101
Grand Rapids, MI 49503
(616) 391-2420
✔ PECOS✔ Accepts Medicare5.3 mi

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 Claystone Clinical Associates Plc's NPI number?

The NPI number for Claystone Clinical Associates Plc is 1619927142. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Claystone Clinical Associates Plc located?

Claystone Clinical Associates Plc is located at 2401 Camelot Ct SE Ste E, Grand Rapids, MI 49546. The listed phone number is (616) 949-7460.

What is Claystone Clinical Associates Plc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Claystone Clinical Associates Plc enrolled in Medicare?

Yes. Claystone Clinical Associates Plc is registered in the Medicare PECOS enrollment system.

When is Claystone Clinical Associates Plc'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 February 28, 2027. 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 Claystone Clinical Associates Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Claystone Clinical Associates Plc. 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 Social Worker (4), Mental Health Counselor (2) and Clinical Psychologist (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Claystone Clinical Associates Plc accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Claystone Clinical Associates Plc 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 Claystone Clinical Associates Plc was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.