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DR. ROGER LYNN ERICKSON PH.D.
NPI 1669829230
Psychologist - Clinical in Kentwood, MI

Active since May 24, 2016
3230 BROADMOOR AVE SE STE D, KENTWOOD, MI 49512(616) 228-1914(616) 333-4927 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Oct 10, 2022 (2 updates tracked since 2022).

About Dr. Roger Lynn Erickson Ph.d. NPPES

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

DR. ROGER LYNN ERICKSON PH.D. (NPI 1669829230) is an individual clinical provider in Kentwood, Michigan, licensed in Michigan (6301016004) and active in the NPI registry since May 2016. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669829230
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ROGER LYNN ERICKSONCredential: PH.D.
Location Address3230 BROADMOOR AVE SE STE DKentwood, MI 49512-8180
Mailing Address3230 Broadmoor Ave Se Ste DKentwood, MI 49512-8180 · (616) 228-1914
Phone(616) 228-1914
Fax(616) 333-4927
Sole ProprietorNo
Enumeration DateMay 24, 2016
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1669829230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301016004
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.
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 6301016004 (MI)
3230 BROADMOOR AVE SE STE D, Kentwood, MI 49512
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Secondary Practice Locations 3

Location 16500 Byron Center Ave SWByron Center, MI 49315-9080 · Phone (616) 281-6311
Location 2300 68th St SEGrand Rapids, MI 49548-6927 · Phone (616) 455-5000
Location 3235 Wealthy St SEGrand Rapids, MI 49503-5247 · Phone (626) 399-8079

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, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 7

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

CENTER FOR EATING DISORDERS AND MENTAL WELLNES LLC
Counselor (Professional)
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Kent County (616) 821-7965
DR. MIKHILA N WILDEY LP
Psychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Kent County (616) 256-0885
KATIE HALMA COUNSELING
Marriage & Family Therapist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Kent County (909) 260-8920
CENTER FOR NEUROPSYCHOLOGY AND BEHAVIORAL HEALTH
Clinical Neuropsychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Kent County (616) 862-5603
DR. CRYSTAL YOUNG PH.D.
Clinical Neuropsychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Kent County (616) 862-5603
TAMMY MATVICHUK
Psychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Kent County (616) 821-4211
KIM KAROL JANIS M.S., LLP
Psychologist
3230 BROADMOOR AVE SE STE D
KENTWOOD, MI 49512
Kent County (616) 862-5603

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 Roger Erickson's NPI number?

The NPI number for Roger Erickson is 1669829230. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Roger Erickson located?

Roger Erickson practices at 3230 Broadmoor Ave SE Ste D, Kentwood, MI 49512. The listed phone number is (616) 228-1914.

What is Roger Erickson's specialty?

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

What insurance does Roger Erickson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Roger Erickson 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 Roger Erickson was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.