Individual provider Active NPI

Amy Holsten, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Augusta, GA
National Provider Identifier
1053665356
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY003677 Issued in GA
Practice address
204 Pitcarin Way Ste a
Augusta, GA 30909-5766
Phone
(803) 220-1611
Fax
(833) 662-2388
NPI assigned
Nov 8, 2012
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY003677 GA Primary

Addresses

Primary practice location

204 Pitcarin Way Ste a
Augusta, GA 30909-5766

Mailing address

204 Pitcarin Way Ste a
Augusta, GA 30909-5766
Phone (803) 220-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY003677GAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Assessment Solutions Past Accepting new patients
Families Forward LLC Clinical Child & Adolescent PastSince Dec 15, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1053665356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PITCARIN WAY STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095766",
            "telephone_number": "803-220-1611",
            "fax_number": "833-662-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PITCARIN WAY STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095766",
            "telephone_number": "803-220-1611",
            "fax_number": "833-662-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTEN",
        "first_name": "AMY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY003677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.