NPPES file of Aug 9, 2026

Jason Randall, PSYD

Clinical Psychologist · Portage, MI

Jason Randall, PSYD is a clinical psychologist with a practice address in Portage, Michigan, and NPI 1679885602, issued on Jul 7, 2010. Check the license (Michigan 6301014496, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1679885602
Name
Jason Randall
Credential
PSYD
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
6301014496 MI
Self-reported in NPPES; status is on the state search
Practice location
3770 Glenkerry CT, Portage, MI 49024
Phone
(269) 329-2887
Enumerated
Jul 7, 2010
Record last updated
Jul 7, 2010 (not updated in 16 years: call before relying on the address or phone)
Fax
(269) 329-2805
Medicare enrollment
Enrolled (PECOS I20101214000790); accepts Medicare assignment
Medical or professional school
Loma Linda University School Of Medicine, 2004
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3770 Glenkerry CT

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nancy Ambs, NPNurse Practitioner1902863624
  2. Brianna Childress, DNPNurse Practitioner1972308146
  3. Maria Csiszar, AGACNP-BCAdult Health Nurse Practitioner1093595803
  4. Charles Guernsey, DOInterventional Pain Medicine Physician1245280767
  5. Matthew Kuiper, DOInterventional Pain Medicine Physician1407817349
  6. Ellie Makoul, PA-CPhysician Assistant1790505683

Verify Jason Randall in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 6301014496
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Grace Health IncBattle Creek, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jason Randall among 2,965 clinical psychologist records in Michigan

Jason Randall, PSYD is one of 2,965 clinical psychologist records with a practice address in Michigan. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 48% of them.

  • NPI issued2010 · 48% of these records are older, 49% newer
  • In a Medicare fileYes · 13% of these records are
  • In the CMS Doctors and Clinicians fileYes · 24% of these records are
  • Graduated2004 · median 2005 among the 697 with a school on file
  • Record last updated2010 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

16 clinical psychologist records list a practice address in Portage

They are 16 of the 1,492 NPPES records with a practice address in Portage, and 2,965 clinical psychologist records in Michigan.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Eileen Chaffee, PH.D.Portage, MI 490241336252493
  2. Karen Hermann, PH.D.Portage, MI 490241801817077
  3. Lisa Makuch, PHDPortage, MI 490241548403439
  4. Evelyn Winfield, PH.D.Portage, MI 490241881742906
  5. Matthew Zarantonello, PH.D.Portage, MI 490241497774368
  6. Emily Burris, PH.D.Benton Harbor, MI 490221174941918
  7. John WellsBenton Harbor, MI 490221831675529
  8. Michael Zlatev, PHDBenton Harbor, MI 490221700394483

Common questions

What is Jason Randall, PSYD's NPI number?

Jason Randall, PSYD's National Provider Identifier (NPI) is 1679885602, issued on Jul 7, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Jason Randall, PSYD located?

The NPPES record lists a practice address at 3770 Glenkerry CT, Portage, MI, 49024. Phone: (269) 329-2887. Providers update this record themselves, so call before visiting.

How can I verify Jason Randall, PSYD's license?

NPPES lists Michigan license number 6301014496, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.