Active NPI
Richard G. Holston, PHD
- Psychoanalyst
- Calistoga, CA
National Provider Identifier
1104048982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- PL60530
- Practice address
- 1731 N Oak St
Calistoga, CA 94515-1118 - Phone
- (707) 939-9921
- Fax
- (707) 939-9931
- NPI assigned
- May 3, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | PL60530 | CA | Primary |
Addresses
Primary practice location
1731 N Oak St
Calistoga, CA 94515-1118
Mailing address
PO Box 1369
Sonoma, CA 95476-1369
Phone (707) 939-9921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00PL60531 | Medicaid | CA |
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 |
|---|---|---|---|
| PL60530 | CA | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104048982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1369",
"city": "SONOMA",
"state": "CA",
"postal_code": "954761369",
"telephone_number": "707-939-9921",
"fax_number": "707-939-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 N OAK ST",
"city": "CALISTOGA",
"state": "CA",
"postal_code": "945151118",
"telephone_number": "707-939-9921",
"fax_number": "707-939-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSTON",
"first_name": "RICHARD",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "PL60530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00PL60531",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Calistoga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.