Active NPI
Johanna Thompson-Hollands, PH.D.
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1114270477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10616-PY-PR
- Practice address
- 150 South Huntington Ave
National Center for PTSD (116B-4)
Boston, MA 02130 - Phone
- (857) 364-2311
- NPI assigned
- Oct 23, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10616-PY-PR | MA | Primary |
Addresses
Primary practice location
150 South Huntington Ave
National Center for PTSD (116B-4)
Boston, MA 02130
Mailing address
150 South Huntington Ave
National Center for PTSD (116B-4)
Boston, MA 02130
Phone (857) 364-2311
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 |
|---|---|---|---|
| 10616-PY-PR | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1114270477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SOUTH HUNTINGTON AVE",
"address_2": "NATIONAL CENTER FOR PTSD (116B-4)",
"city": "BOSTON",
"state": "MA",
"postal_code": "02130",
"telephone_number": "857-364-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 SOUTH HUNTINGTON AVE",
"address_2": "NATIONAL CENTER FOR PTSD (116B-4)",
"city": "BOSTON",
"state": "MA",
"postal_code": "02130",
"telephone_number": "857-364-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON-HOLLANDS",
"first_name": "JOHANNA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10616-PY-PR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.