Individual provider Active NPI

James Henry Hoeksema, PSY.D.

  • Clinical Psychologist
  • Holland, MI
National Provider Identifier
1013920438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006620 Issued in MI
Practice address
720 E 8TH St
Suite 2
Holland, MI 49423-3079
Phone
(616) 355-0473
Fax
(616) 355-0480
NPI assigned
Aug 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301006620 MI Primary

Addresses

Primary practice location

720 E 8TH St
Suite 2
Holland, MI 49423-3079

Mailing address

720 E 8TH St
Suite 2
Holland, MI 49423-3079
Phone (616) 355-0473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104001122 MI Practitioner - Clinical Psychologist 2961696869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

720 E 8TH St
Holland, MI 49423-3079
Phone (616) 355-0473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hoeksema Psychological Services, P.C. Clinical CurrentSince Jul 14, 2010 Accepting new patients
Counseling & Consultation Resources PC PastSince Jan 1, 2022 Accepting new patients

Locations

720 E 8th St
Ste 2
Holland, MI 49423
Phone (616) 355-0473

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013920438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E 8TH ST",
            "address_2": "SUITE 2",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233079",
            "telephone_number": "616-355-0473",
            "fax_number": "616-355-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E 8TH ST",
            "address_2": "SUITE 2",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233079",
            "telephone_number": "616-355-0473",
            "fax_number": "616-355-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSEMA",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.