Active NPI
Donna Sue Holland, M.D.
- Child & Adolescent Psychiatry Physician
- Boca Raton, FL
National Provider Identifier
1073784690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 41262
- Practice address
- 4895 Regency CT
Boca Raton, FL 33434-5328 - Phone
- (561) 994-9398
- NPI assigned
- Mar 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 41262 | FL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 41262 | FL | Primary |
Addresses
Primary practice location
4895 Regency CT
Boca Raton, FL 33434-5328
Mailing address
4895 Regency CT
Boca Raton, FL 33434-5328
Phone (561) 994-9398
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41262 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206230400000",
"number": "1073784690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 REGENCY CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334345328",
"telephone_number": "561-994-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 REGENCY CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334345328",
"telephone_number": "561-994-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "DONNA",
"middle_name": "SUE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-23",
"last_updated": "2008-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "41262",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "41262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.