Organization Active NPI

Holistic Wellness & Psychiatry

  • Psychiatry Physician
  • St Thomas, VI
National Provider Identifier
1104509140
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HOLISTIC WELLNESS & PSYCHIATRY
Practice address
9150 Estate Thomas
St Thomas, VI 00802-2611
Phone
(340) 224-9658
Fax
(855) 300-4759
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Laurie May McCormick, MDNPI 1114912888
Title
Owner
Phone
(319) 471-1749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

9150 Estate Thomas
St Thomas, VI 00802-2611

Mailing address

42 7TH Ave SW Ste 100
Cedar Rapids, IA 52404-2185
Phone (319) 800-2125

Other practice location 1

42 7th Ave SW Ste 100
Cedar Rapids, IA 52404-2185
Phone (319) 800-2125

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2311569Holistic Wellness & Psychiatry42 7TH Ave SW Ste 100, Cedar Rapids, IA 52404Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1104509140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 7TH AVE SW STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524042185",
            "telephone_number": "319-800-2125",
            "fax_number": "855-300-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 ESTATE THOMAS",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022611",
            "telephone_number": "340-224-9658",
            "fax_number": "855-300-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 7th Ave SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524042185",
            "country_code": "US",
            "telephone_number": "319-800-2125",
            "fax_number": "855-300-4759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC WELLNESS & PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-471-1749",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.