Active NPI
Theresa Kelly-Holmes, PHD
- Psychologist
- Washington, DC
National Provider Identifier
1184051062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1000 Mount Olivet Rd NE
Washington, DC 20002-2210 - Phone
- (202) 576-8125
- Fax
- (202) 576-9073
- NPI assigned
- Oct 9, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | DC | Primary |
Addresses
Primary practice location
1000 Mount Olivet Rd NE
Washington, DC 20002-2210
Mailing address
1000 Mt Olivet N.E.
Washington, DC 20002
Phone (301) 343-7445
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1184051062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MT OLIVET N.E.",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20002",
"telephone_number": "301-343-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MOUNT OLIVET RD NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200022210",
"telephone_number": "202-576-8125",
"fax_number": "202-576-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY-HOLMES",
"first_name": "THERESA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-09",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.