Anthony Craig Hockin, PHD
Individual provider Active NPI Clinical Psychologist · Traverse City, MI
NPI 1396001095 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1396001095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6301014802 (MI)
- Practice address
- 3537 W Front St
Suite F
Traverse City, MI 49684-7941 - Phone
- (231) 935-8900
- Fax
- (231) 935-8901
- NPI assigned
- Apr 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kalkaska Memorial Health Center
Practice addresses (Care Compare)
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140324001042 | MI | Practitioner - Clinical Psychologist | 3870747611 |
Reassigns benefits to 2 organizations Practice locations: Traverse City, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalkaska Memorial Health Center | Current |
Accepting new patients | |
| Kalkaska Memorial Health Center | Current |
Accepting new patients | |
| Kalkaska Memorial Health Center | Clinical | Current | Accepting new patients |
Locations
419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500
Interoperability endpoints
- ahockin@direct.mhc.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301014802 | MI | Yes |
Addresses
Primary practice location
3537 W Front St
Suite F
Traverse City, MI 49684-7941
Mailing address
3537 W Front St
Suite F
Traverse City, MI 49684-7941
Phone (231) 935-8900
Other practice location 1
419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7777
Other providers in Traverse City, MI
- Katherine Hobbs
- Stephen Hobson
- Josette Marie Hoch
- Bradley S Hochstetler
- Douglas A Hockenberger
- Karen C Hocking
- Danielle Hodge
- Michelle Hodges
- Steven Cameron Hodges
- Allen Earl Hoeft
All providers in Traverse City, MI · Clinical Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.