Organization Active NPI

Holman Psychological Services, LLC

  • Psychologist
  • Anchorage, AK
National Provider Identifier
1033577572
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
631 Issued in AK
Legal business name
HOLMAN PSYCHOLOGICAL SERVICES, LLC
Practice address
2550 Denali St
Suite 1606
Anchorage, AK 99503-2783
Phone
(907) 205-2188
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marianne Holman, PSY.D.NPI 1538306949
Title
Psychologist
Phone
(907) 205-2188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 631 AK Primary

Addresses

Primary practice location

2550 Denali St
Suite 1606
Anchorage, AK 99503-2783

Mailing address

PO Box 221591
Anchorage, AK 99522-1591
Phone (907) 205-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160202000255 AK Part B Supplier - Clinic/Group Practice 7911201595 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

4325 Laurel St
Ste 270
Anchorage, AK 99508
Phone (907) 205-2188

2401 E 42nd Ave
Ste 306
Anchorage, AK 99508
Phone (907) 205-2188

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1033577572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221591",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995221591",
            "telephone_number": "907-205-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 DENALI ST",
            "address_2": "SUITE 1606",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032783",
            "telephone_number": "907-205-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMAN PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "907-205-2188",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AK",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.