ASSOCIATED PSYCHOLOGISTS PLC
NPI 1629112420
Psychologist - Clinical in St Clair Shores, MI
About Associated Psychologists Plc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASSOCIATED PSYCHOLOGISTS PLC (NPI 1629112420) is a healthcare organization registered as a clinical in St Clair Shores, Michigan and active in the NPI registry since February 2007. The organization lists Ronald H Boardway, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Associated Psychologists Plc 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
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Associated Psychologists Plc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Saint Clair Shores, MI 48080
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 Associated Psychologists Plc's NPI number?
The NPI number for Associated Psychologists Plc is 1629112420. It was assigned to this organization in the NPPES registry on February 16, 2007.
Where is Associated Psychologists Plc located?
Associated Psychologists Plc is located at 19900 10 Mile Road Ste 102, St Clair Shores, MI 48080. The listed phone number is (586) 776-3366.
What is Associated Psychologists Plc's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Associated Psychologists Plc enrolled in Medicare?
Yes. Associated Psychologists Plc is registered in the Medicare PECOS enrollment system.
When is Associated Psychologists 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 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 Associated Psychologists Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Associated Psychologists 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 Psychologist (4), Clinical Social Worker (2) and Mental Health Counselor (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Associated Psychologists Plc accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Associated Psychologists 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 Associated Psychologists Plc was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Associated Psychologists Plc · NPI 1629112420
Clinical organization in St Clair Shores, Michigan. Organization record, active in the CMS NPPES registry since February 16, 2007.
## Identity
- **NPI:** 1629112420 (Entity type: Organization)
- **Enumerated:** February 16, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Ronald Boardway, OWNER
## Practice location
- **Address:** 19900 10 MILE ROAD, STE 102, St Clair Shores, MI 48080
- **Phone:** (586) 776-3366 · **Fax:** (586) 776-3369
## 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:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (4), Clinical Social Worker (2), Mental Health Counselor (2); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1629112420) · Data from the CMS NPPES public registry.