Marnell Makela Holtgraves, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20040702A Issued in IN

Practice address

212 S Main St
New Castle, IN 47362-4215

Phone

(765) 529-5226

Fax

(765) 529-1556

NPI assigned

Oct 2, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1114010766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 EAST C. R. 300 NORTH",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "47362",
            "telephone_number": "765-529-5226",
            "fax_number": "765-529-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624215",
            "telephone_number": "765-529-5226",
            "fax_number": "765-529-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTGRAVES",
        "first_name": "MARNELL",
        "middle_name": "MAKELA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040702A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200038170A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenton Shawn Hilbish, M.D.
• Penny Deann Hiner, R.N.
• Matthew Steven Hinshaw, PA-C
• Elliotte Hogan
• Katharine Holmer, CRNA
• Aaron Dean Holverson, CRNA
• Christina Marie Honig, CNM
• Hook-Superx LLC
• Michele Sharyn Hook, PHARMD
• Christina C Hossom, LCSW

• Psychologist in New Castle, IN
• Providers in New Castle, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.