Active NPI
Eryca Hazekamp, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Grand Haven, MI
National Provider Identifier
1639895253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704373409
- Practice address
- 1475 Robbins Rd Ste 150
Grand Haven, MI 49417-3700 - Phone
- (616) 237-8898
- NPI assigned
- Oct 14, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704373409 | MI | Primary |
Addresses
Primary practice location
1475 Robbins Rd Ste 150
Grand Haven, MI 49417-3700
Mailing address
11273 Evert CT
West Olive, MI 49460-9581
Phone (480) 789-1633
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Eryca@westmichiganpsychologicalservices.com | West Michigan Psychological Services LLC |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
890 Washington Ave
Suite 150
Holland, MI 49423-7702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704373409 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Psychological Services LLC | Current | Accepting new patients |
Locations
1475 Robbins Rd
Ste 150
Grand Haven, MI 49417
Phone (616) 305-9605
400 136th Ave
Ste 416
Holland, MI 49424
Phone (616) 738-0470
890 Washington Ave
Ste 150
Holland, MI 49423
Phone (616) 952-9957
Interoperability endpoints
- eryca@westmichiganpsychologicalservices.com
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 Counselor
- Holland, MI
- NPI 1215407044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1639895253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11273 EVERT CT",
"city": "WEST OLIVE",
"state": "MI",
"postal_code": "494609581",
"telephone_number": "480-789-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 ROBBINS RD STE 150",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494173700",
"telephone_number": "616-237-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZEKAMP",
"first_name": "ERYCA",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704373409",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Eryca@westmichiganpsychologicalservices.com",
"affiliation": "Y",
"affiliationName": "West Michigan Psychological Services LLC",
"address_1": "1475 Robbins Rd Ste 150",
"city": "Grand Haven",
"state": "MI",
"country_code": "US",
"postal_code": "494173700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.