Active NPI
Eric Bruce Haywood, BS, CAADC
- Addiction (Substance Use Disorder) Counselor
- Traverse City, MI
National Provider Identifier
1083064448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 940 E 8TH St
Traverse City, MI 49686-2893 - Phone
- (231) 409-5594
- Fax
- (231) 943-2590
- NPI assigned
- Jun 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Social Worker | 104100000X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
940 E 8TH St
Traverse City, MI 49686-2893
Mailing address
415 Cass St
Suite 2a & 2D
Traverse City, MI 49684-2589
Phone (231) 409-5594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1083064448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 CASS ST",
"address_2": "SUITE 2A & 2D",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842589",
"telephone_number": "231-409-5594",
"fax_number": "231-943-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 E 8TH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496862893",
"telephone_number": "231-409-5594",
"fax_number": "231-943-2590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWOOD",
"first_name": "ERIC",
"middle_name": "BRUCE",
"credential": "BS, CAADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-16",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.