Camille Holiner, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

39039 Issued in TX

Practice address

4060 Travis St Apt 12
Dallas, TX 75204-7537

Phone

(214) 868-0709

NPI assigned

Aug 10, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Beacon Behavioral of Texas PA

  • Psychiatry Physician
  • Allen, TX
  • NPI 1053545335
  Medicare reassignment NPD
• Joel a. Holiner, MD PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1346259645
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1124793351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 TRAVIS ST APT 12",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752047537",
            "telephone_number": "214-868-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 TRAVIS ST APT 12",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752047537",
            "telephone_number": "214-868-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 Walnut Hill Ln Ste 320",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314328",
            "country_code": "US",
            "telephone_number": "214-449-1156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLINER",
        "first_name": "CAMILLE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://phhwtherapy.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "portal",
            "address_1": "8140 Walnut Hill Ln Ste 320",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752314328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Payton James Holderman DC, DC
• Holiday Hills Rehabilitation & Care Center, L.P.
• Stormy J Holifield, CERTIFIED FAMILY PAR
• Cheryl Denise Holihan, RN, CPNP
• Rebecca Holiman
• Joel A Holiner, M.D.
• Holistic Hypnotherapist Center LLC
• Holistic Purpose
• Brian A Hollabaugh, D.D.S.
• Brittany Hollabaugh, CRNA

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.