RANDALL L WOLTHUIS PHD
NPI 1639390743
Psychologist - Clinical in Alto, MI

Q: What is Randall Wolthuis's NPI number?

The NPI number for Randall Wolthuis is 1639390743. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Randall Wolthuis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Randall Wolthuis was last updated on March 21, 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.

Active since May 02, 2007PECOS Enrolled

8202 TRIPLE L TRL SE, ALTO, MI 49302(616) 275-2113 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Randall L Wolthuis Phd NPPES

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

RANDALL L WOLTHUIS PHD (NPI 1639390743) is an individual clinical provider in Alto, Michigan, licensed in Michigan (6301006480) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1639390743

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameRANDALL L WOLTHUISCredential: PHD

Location Address8202 TRIPLE L TRL SEAlto, MI 49302-9551

Mailing Address1000 Parchment Drive SeGrand Rapids, MI 49546-3663 · (616) 957-9112 · Fax (616) 957-2409

Phone(616) 275-2113

Sole ProprietorYes

Medical School CMSOtherGraduated 1987

Enumeration DateMay 2, 2007

Last NPPES UpdateMarch 21, 2024

NPPES CertifiedMarch 21, 2024

✔ NPI 1639390743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301006480

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

8202 TRIPLE L TRL SE, Alto, MI 49302

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Other Identifiers 1

Other680D145940MI · Bcbs Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Oscar Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall L Wolthuis Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365488509

PECOS Enrollment IDI20050628001231

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL WOLTHUIS, PH.D. LLC

Psychologist

8202 TRIPLE L TRL SE
ALTO, MI 49302

Kent County (616) 275-2113

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 Randall Wolthuis's NPI number?

The NPI number for Randall Wolthuis is 1639390743. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Randall Wolthuis located?

Randall Wolthuis practices at 8202 Triple L Trl SE, Alto, MI 49302. The listed phone number is (616) 275-2113.

What is Randall Wolthuis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Randall Wolthuis enrolled in Medicare?

Yes. Randall Wolthuis is registered in the Medicare PECOS enrollment system.

What insurance does Randall Wolthuis accept?

Health plans from McLaren Health Plan Community, Oscar Insurance Company, Priority Health, Providence Health Plan and UnitedHealthcare list Randall Wolthuis 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 Randall Wolthuis was last updated on March 21, 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.