Roger Lynn Erickson, PH.D.

Clinical Psychologist · Kentwood, MI

Individual Active NPI

NPI number 1669829230

Practice location

3230 Broadmoor Ave SE Ste D
Kentwood, MI 49512-8180
Phone
(616) 228-1914
Fax
(616) 333-4927

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NPI record

NPI
1669829230
Entity type
Individual (Type 1)
Enumeration date
May 24, 2016
Last updated
March 21, 2025
Certified
March 21, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 6301016004 MI
Rehabilitation Psychologist 103TR0400X 6301016004 MI

Other practice locations (3)

  • 6500 Byron Center Ave SW, Byron Center, MI 49315-9080 · (616) 281-6311
  • 235 Wealthy St SE, Grand Rapids, MI 49503-5247 · (626) 399-8079
  • 300 68th St SE, Grand Rapids, MI 49548-6927 · (616) 455-5000

About Dr. Erickson

Roger Lynn Erickson, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 3230 Broadmoor Ave SE Ste D, Kentwood, MI 49512-8180. The NPI number 1669829230 was assigned on May 24, 2016 and the record was last updated on March 21, 2025.

Dr. Erickson lists 2 licenses in the registry: #6301016004 (MI) for Clinical Psychologist; #6301016004 (MI) for Rehabilitation Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roger Lynn Erickson, PH.D.?

The NPI number is 1669829230.

What is the phone number of Dr. Erickson?

The phone number listed for the practice location is (616) 228-1914.

Where is Dr. Erickson located?

3230 Broadmoor Ave SE Ste D, Kentwood, MI 49512-8180.

What is the taxonomy code for Dr. Erickson?

The primary taxonomy code is 103TC0700X – Clinical Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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