Thomas Rouse Holley, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

77-45 Issued in NM

Practice address

5801 Eubank Blvd NE
Apt. # 69
Albuquerque, NM 87111-6123

Phone

(510) 459-0180

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1043440704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF NEW MEXICO",
            "address_2": "MSC06 3870",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-277-3136",
            "fax_number": "505-277-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 EUBANK BLVD NE",
            "address_2": "APT. # 69",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116123",
            "telephone_number": "510-459-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "THOMAS",
        "middle_name": "ROUSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "77-45",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "77-45",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25478",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny Holland, LPCC
• Renee L Holland, RN, CDE
• Skyler Lee Holland
• Michelle Claire Hollenkamp, DMD
• Benjamin Holley, CNP
• Amber Holliday, SLP
• Michael Hollifield, M.D.
• Gail M Hollinger, RNFA
• Mayson Hollinger, MS, RD
• Lauren Hollingsworth Chavez, M.D.

• Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.