Active NPI
Holly Marie Jolan Brady, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1104592625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11014903
- Practice address
- 1626 Locust St
Philadelphia, PA 19103-6305 - Phone
- (302) 265-0020
- Fax
- (302) 587-8928
- NPI assigned
- Aug 17, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11014903 | FL | Primary |
Addresses
Primary practice location
1626 Locust St
Philadelphia, PA 19103-6305
Mailing address
PO Box 4737
Philadelphia, PA 19134-0137
Phone (302) 265-0020
Other practice location 1
66 W Flagler St Ste 900
Miami, FL 33130-1807
Phone (302) 265-0020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11014903 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Single Specialty | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1104592625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4737",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191340137",
"telephone_number": "302-265-0020",
"fax_number": "302-587-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 LOCUST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036305",
"telephone_number": "302-265-0020",
"fax_number": "302-587-8928"
}
],
"practiceLocations": [
{
"address_1": "66 W Flagler St Ste 900",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331301807",
"country_code": "US",
"telephone_number": "302-265-0020",
"fax_number": "302-587-8928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADY",
"first_name": "HOLLY",
"middle_name": "MARIE JOLAN",
"name_prefix": "Dr.",
"credential": "DNP, APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "11014903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.