Jason Randall, PSYD
NPI 1679885602 · Clinical Psychologist · Portage, MI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jason Randall, PSYD is a Clinical Psychologist provider in Portage, MI (NPI 1679885602).
Provider details
- NPI number
- 1679885602
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 6301014496 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-07
- Last updated
- 2010-07-07
Frequently asked questions
- What is Jason Randall's NPI number?
- Jason Randall's National Provider Identifier (NPI) is 1679885602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Randall's specialty?
- Jason Randall is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jason Randall located?
- Jason Randall's practice location on file with NPPES is 3770 Glenkerry Ct, Portage, MI 49024-0700.
- What is Jason Randall's phone number?
- The practice phone number listed in the NPPES registry for Jason Randall is (269) 329-2887.
- Does Jason Randall accept Medicare?
- Jason Randall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jason Randall's NPI active?
- Yes — Jason Randall's NPI (1679885602) is active in the NPPES registry as of the last update on 2010-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.