Active NPI
Roland C Hart, LLP
- Psychologist
- Holland, MI
National Provider Identifier
1497920763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301013291
- Practice address
- 348 S Waverly Rd Ste 101
Holland, MI 49423-8103 - Phone
- (616) 834-1873
- Fax
- (616) 369-1300
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301013291 | MI | Primary |
Addresses
Primary practice location
348 S Waverly Rd Ste 101
Holland, MI 49423-8103
Mailing address
348 S Waverly Rd Ste 101
Holland, MI 49423-8103
Phone (616) 834-1873
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013291 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling & Consultation Resources PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1013060151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1497920763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 S WAVERLY RD STE 101",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494238103",
"telephone_number": "616-834-1873",
"fax_number": "616-834-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 S WAVERLY RD STE 101",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494238103",
"telephone_number": "616-834-1873",
"fax_number": "616-369-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "ROLAND C",
"credential": "LLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301013291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.