DR. RANDALL LEE HERREMA PSY.D.
NPI 1063569150
Psychologist - Clinical in Grand Rapids, MI

Q: What is Randall Herrema's NPI number?

The NPI number for Randall Herrema is 1063569150. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Randall Herrema's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Randall Herrema was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment

3501 LAKE EASTBROOK BLVD SE, SUITE 280, GRAND RAPIDS, MI 49546(616) 942-7331 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Randall Lee Herrema Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL LEE HERREMA PSY.D. (NPI 1063569150) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301003721) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1063569150

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. RANDALL LEE HERREMACredential: PSY.D.

Location Address3501 LAKE EASTBROOK BLVD SE, SUITE 280Grand Rapids, MI 49546-5938

Mailing Address3501 Lake Eastbrook Blvd Se, Suite 280Grand Rapids, MI 49546 · (616) 942-7331

Phone(616) 942-7331

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063569150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301003721

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3501 LAKE EASTBROOK BLVD SE, Grand Rapids, MI 49546

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Other Identifiers 1

Medicare ID-Type Unspecified0D14642MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randall Lee Herrema Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335296730

PECOS Enrollment IDI20090421000508

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL DUANE FORREST PH.D, LPC, NCC

Counselor (Professional)

3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546

Kent County (616) 942-7331

ARTHUR M DAGLOW COUNSELING CENTER

Social Worker (Clinical)

3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546

Kent County (616) 942-7331

ADOLESCENT AND FAMILY BEHAVIORAL HEALTH SERVICES

Psychologist

3501 LAKE EASTBROOK BLVD SE, #258
GRAND RAPIDS, MI 49546

Kent County (616) 719-0194

JULIA A. MCINTIRE MA, LPC

Counselor (Professional)

3501 LAKE EASTBROOK BLVD SE, SUITE 146
GRAND RAPIDS, MI 49546

Kent County (616) 822-4858

LOIS ANNE MOORE MSW, LMSW, LMFT

Social Worker (Clinical)

3501 LAKE EASTBROOK BLVD SE, SUITE 280
GRAND RAPIDS, MI 49546

Kent County (616) 942-7331

KHALIA RENITA TWORK LLPC

Counselor (Mental Health)

3501 LAKE EASTBROOK BLVD SE, SUITE 258
GRAND RAPIDS, MI 49546

Kent County (616) 295-7614

MS. CLAIRE A ANDRUS LLPC

Counselor (Mental Health)

3501 LAKE EASTBROOK BLVD SE, SUITE 262
GRAND RAPIDS, MI 49546

Kent County (616) 977-5700

MS. CAROLE ANN HANSEN MA EDS MA LPC

Counselor (Professional)

3501 LAKE EASTBROOK BLVD SE, SUITE #140
GRAND RAPIDS, MI 49546

Kent County (616) 957-5773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Herrema's NPI number?

The NPI number for Randall Herrema is 1063569150. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Randall Herrema located?

Randall Herrema practices at 3501 Lake Eastbrook Blvd SE Suite 280, Grand Rapids, MI 49546. The listed phone number is (616) 942-7331.

What is Randall Herrema's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Randall Herrema enrolled in Medicare?

Yes. Randall Herrema is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Herrema accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Randall Herrema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Herrema was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.