Individual provider Active NPI

Eryca Hazekamp, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Haven, MI
National Provider Identifier
1639895253
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704373409 Issued in MI
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

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524000727 MI Practitioner - Nurse Practitioner 6305202961 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4704373409MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Psychological Services LLC CurrentSince Apr 9, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.