JASON RANDALL PSYD
NPI 1679885602
Psychologist - Clinical in Portage, MI

Q: What is Jason Randall's NPI number?

The NPI number for Jason Randall is 1679885602. It was assigned to this individual provider in the NPPES registry on July 7, 2010.

Q: What is Jason Randall'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 Jason Randall was last updated on July 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 July 07, 2010PECOS EnrolledAccepts Medicare Assignment

3770 GLENKERRY CT, PORTAGE, MI 49024(269) 329-2887(269) 329-2805 Get Directions Write a Review

NPPES record last updated: July 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jason Randall Psyd NPPES

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

JASON RANDALL PSYD (NPI 1679885602) is an individual clinical provider in Portage, Michigan, licensed in Michigan (6301014496) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2004).

NPPES Registry Identity

NPI1679885602

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJASON RANDALLCredential: PSYD

Location Address3770 GLENKERRY CTPortage, MI 49024-0700

Mailing Address61 Commerce Ave SwGrand Rapids, MI 49503-4124 · (616) 940-0660 · Fax (616) 940-1965

Phone(269) 329-2887

Fax(269) 329-2805

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2004

Enumeration DateJuly 7, 2010

✔ NPI 1679885602 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 · 6301014496

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.

3770 GLENKERRY CT, Portage, MI 49024

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 and accepts Medicare assignment

Jason Randall Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951598135

PECOS Enrollment IDI20101214000790

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 49024 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 14

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

MARIA ANNA CSISZAR AGACNP-BC

Nurse Practitioner (Adult Health)