Active NPI
Jerema E Holliday, MA
- Adult Development & Aging Psychologist
- Columbus, OH
National Provider Identifier
1114409513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- Practice address
- 5969 E Livingston Ave Ste 100
Columbus, OH 43232-2907 - Phone
- (614) 864-2700
- Fax
- (614) 864-2702
- NPI assigned
- Aug 31, 2018
- Last updated
- Aug 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | NU | Primary | |
| Group Psychotherapy Psychologist | 103TP2701X | NU |
Addresses
Primary practice location
5969 E Livingston Ave Ste 100
Columbus, OH 43232-2907
Mailing address
1100 Brandywine Blvd Ste E3
Zanesville, OH 43701-1138
Phone (614) 864-2700
Other practice location 1
301 Main St Ste Jkl
Zanesville, OH 43701-3456
Phone (740) 297-7800
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
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hermona Robinson Tru-Rob Counseling and Consulting | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hermona Robinson Tru-Rob Counseling and Consulting LLC
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1356782296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1114409513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BRANDYWINE BLVD STE E3",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011138",
"telephone_number": "614-864-2700",
"fax_number": "614-864-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5969 E LIVINGSTON AVE STE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432322907",
"telephone_number": "614-864-2700",
"fax_number": "614-864-2702"
}
],
"practiceLocations": [
{
"address_1": "301 Main St Ste Jkl",
"address_purpose": "LOCATION",
"city": "Zanesville",
"state": "OH",
"postal_code": "437013456",
"country_code": "US",
"telephone_number": "740-297-7800",
"fax_number": "740-297-7228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "JEREMA",
"middle_name": "E",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.