DR. ROGER LYNN ERICKSON PH.D.
NPI 1669829230
Psychologist - Clinical in Kentwood, MI
NPI Status: Active since May 24, 2016
Contact Information
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI
ZIP 49512
Phone: (616) 228-1914
Fax: (616) 333-4927
- Individual
- Male
- Psychologist
- Clinical
- Accepts Insurance
- PECOS Enrolled
About ROGER ERICKSON
This page provides the complete NPI Profile along with additional information for Roger Erickson, a provider established in Kentwood, Michigan with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1669829230 assigned on May 2016. The practitioner's primary taxonomy code is 103TC0700X with license number 6301016004 (MI). The provider is registered as an individual and his NPI record was last updated March 2025.
- NPI
- 1669829230
- Provider Name
- DR. ROGER LYNN ERICKSON PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3230 BROADMOOR AVE SE STE D KENTWOOD, MI 49512
- Location Phone
- (616) 228-1914
- Location Fax
- (616) 333-4927
- Mailing Address
- 3230 BROADMOOR AVE SE STE D KENTWOOD, MI 49512
- Mailing Phone
- (616) 228-1914
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2016
- Last Update Date
- 03-21-2025
- Code Navigator
A clinical psychologist like Roger Erickson assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Secondary Locations
- 6500 Byron Center Ave SW
Byron Center, MI 49315
(616) 281-6311 - 300 68th St SE
Grand Rapids, MI 49548
(616) 455-5000 - 235 Wealthy St SE
Grand Rapids, MI 49503
(626) 399-8079
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6301016004
- License State
- MI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | 6301016004 (MI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Metro Detroit HMO Bronze Extra - HMO
- Blue Cross� Metro Detroit HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Bronson Healthcare Partners - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
- MyPriority Balanced Silver Trinity Health East Network - HMO
- MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Enhanced Gold Southeast Michigan Network - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (No Referrals) - HMO
- UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
- University of Michigan Health Plan HMO Exclusive Bronze - HMO
- University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
- University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Select - HMO
- University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
- University of Michigan Health Plan HMO Exclusive Silver - HMO
- University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
- University of Michigan Health Plan HMO Exclusive Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Roger Erickson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 49512 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $166.68
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $41.67
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 8 | 2 | 9 | 2 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 2 | 18 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 2 + 1 + 8 + 2 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1669829230 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
CENTER FOR EATING DISORDERS AND MENTAL WELLNES LLC
Counselor
(Professional)
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI
ZIP 49512
KATIE HALMA COUNSELING
Marriage & Family Therapist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI
ZIP 49512
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669829230, enumerated as an "individual" on May 24, 2016.
The provider is located at 3230 BROADMOOR AVE SE STE D KENTWOOD, MI 49512 and the phone number is (616) 228-1914.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
