Individual provider Active NPI

Barbara J Homrich, MA LLP

  • Clinical Psychologist
  • Grand Rapids, MI
National Provider Identifier
1760469027
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301011673 Issued in MI
Practice address
3330 Claystone St SE
Grand Rapids, MI 49546-7716
Phone
(616) 949-7460
Fax
(616) 949-3018
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301011673 MI Primary

Addresses

Primary practice location

3330 Claystone St SE
Grand Rapids, MI 49546-7716

Mailing address

PO Box 30516
Dept 6065
Lansing, MI 48909-8016
Phone (616) 532-8000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715001285 MI Practitioner - Clinical Psychologist 9931188687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clearwater Counseling and Wellness LLCGroup PAC ID 0244508166, 3 clinicians

Practice addresses (Care Compare)

1525 E Beltline Ave NE
Suite 204
Grand Rapids, MI 49525-4598
Phone (616) 965-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301011673MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Claystone Clinical Associates PLC PastSince May 26, 2024 Accepting new patients
Claystone Clinical Associates PLC Clinical PastSince Aug 24, 2009 Accepting new patients

Organizations & group practices 3

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1760469027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30516",
            "address_2": "DEPT 6065",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489098016",
            "telephone_number": "616-532-8000",
            "fax_number": "616-532-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CLAYSTONE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467716",
            "telephone_number": "616-949-7460",
            "fax_number": "616-949-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMRICH",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "MA LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.