Active NPI
Hoeksema Psychological Services, P.C.
- Clinical Psychologist
- Holland, MI
National Provider Identifier
1689974776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- JH00620
- Legal business name
- HOEKSEMA PSYCHOLOGICAL SERVICES, P.C.
- Practice address
- 720 E 8TH St
Suite 2
Holland, MI 49423-3079 - Phone
- (616) 355-0473
- Fax
- (616) 355-0480
- NPI assigned
- Oct 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Henry Hoeksema, PSY.D.
- Title
- President
- Phone
- (616) 355-0473
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | JH00620 | MI | Primary |
Addresses
Primary practice location
720 E 8TH St
Suite 2
Holland, MI 49423-3079
Mailing address
720 E 8TH St
Suite 2
Holland, MI 49423-3079
Phone (616) 355-0473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Holland, MI
- NPI 1013920438
-
- Clinical Psychologist
- Holland, MI
- NPI 1932145729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287878400000",
"number": "1689974776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E 8TH ST",
"address_2": "SUITE 2",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494233079",
"telephone_number": "616-355-0473",
"fax_number": "616-355-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E 8TH ST",
"address_2": "SUITE 2",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494233079",
"telephone_number": "616-355-0473",
"fax_number": "616-355-0480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOEKSEMA PSYCHOLOGICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-24",
"last_updated": "2010-10-24",
"status": "A",
"authorized_official_last_name": "HOEKSEMA",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-355-0473",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "JH00620",
"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 Oct 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.