ERIC HOLLEBEEK PSYCHOLOGIST
NPI 1841868585
Psychologist - Clinical in Jacksonville, FL

Q: What is Eric Hollebeek's NPI number?

The NPI number for Eric Hollebeek is 1841868585. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Q: What is Eric Hollebeek'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 Eric Hollebeek was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 17, 2021PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1650 PRUDENTIAL DR STE 210, JACKSONVILLE, FL 32207(904) 376-3800(904) 390-7396 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2026, Dec 22, 2025, May 22, 2025 and 3 more (6 updates tracked since 2021).

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About Eric Hollebeek Psychologist NPPES

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

ERIC HOLLEBEEK PSYCHOLOGIST (NPI 1841868585) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (PY11081) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1841868585

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameERIC HOLLEBEEKCredential: PSYCHOLOGIST

Location Address1650 PRUDENTIAL DR STE 210Jacksonville, FL 32207-8149

Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998

Phone(904) 376-3800

Fax(904) 390-7396

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 17, 2021

Last NPPES UpdateJanuary 20, 20266 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1841868585 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 FL · PY11081

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.

1650 PRUDENTIAL DR STE 210, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric Hollebeek Psychologist 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 ID5991106858

PECOS Enrollment IDI20210629002625

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.

Medicare Billing Reassignment

Medicare enrollment records show Eric Hollebeek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Behavioral Health, LLC

0.7 mi

Professional

841 PRUDENTIAL DR STE 1350
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
176 clinicians in this Medicare group

NPI 1215906649 (904) 376-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 16

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

DR. AYLIN SANER EMMERT M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)