Active NPI
Courtney L Holbrook, PH.D.
- Psychologist
- Cleveland, OH
National Provider Identifier
1063595585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5457
- Practice address
- 2322 E 22ND St
Suite 207
Cleveland, OH 44115-3176 - Phone
- (216) 592-2801
- Fax
- (216) 592-2811
- NPI assigned
- Oct 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5457 | OH | Primary |
Addresses
Primary practice location
2322 E 22ND St
Suite 207
Cleveland, OH 44115-3176
Mailing address
PO Box 22958
Cleveland, OH 44122-0958
Phone (216) 595-9600
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5457 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063595585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22958",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441220958",
"telephone_number": "216-595-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 E 22ND ST",
"address_2": "SUITE 207",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153176",
"telephone_number": "216-592-2801",
"fax_number": "216-592-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "COURTNEY",
"middle_name": "L",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.