Magdalene Holtam, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

23823 Issued in CA

Practice address

2660 Solace PL
Suite a
Mountain View, CA 94040-4337

Phone

(408) 898-8935

NPI assigned

Nov 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Magdalene Peter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1083915599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2712",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950700712",
            "telephone_number": "408-898-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SOLACE PL",
            "address_2": "SUITE A",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404337",
            "telephone_number": "408-898-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTAM",
        "first_name": "MAGDALENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "23823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALENE",
            "last_name": "PETER",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Grant David Hochstein, M.D.
• Barbara J Hoffman, M.A, LMFT
• Ronald Z Hoffman, M.D.
• Helene Hoi, M.D.
• Stephanie Bauan Holgado, PHARM.D
• Lorri Holzberg
• Henry H Hom, DDS
• Gelareh Homayounfar, MD
• Dominique Hong
• Jonathan Robert Hootman, MD

• Clinical Psychologist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.