Hra Psychological Services PC
NPI 1003859984ActiveOrganization· Psychologist, Clinical· Grand Rapids, MI
Psychologist, Clinical in Grand Rapids, Michigan, registered in NPPES in June 2006. The authorized official on file is Tracy Heckman, CPB, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003859984 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2006 |
| Last updated in NPPES | Jan 2, 2025 |
| Certified by provider | Jan 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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