Individual provider Active NPI

Dorothy A Holmes, PHD

  • Psychologist
  • Miami, FL
National Provider Identifier
1194705517
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4884 Issued in FL
Practice address
1250 SW 27TH Ave
Ste 404
Miami, FL 33135-4741
Phone
(305) 642-5255
Fax
(305) 642-8850
NPI assigned
Jan 20, 2006
Last updated
Oct 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY4884 FL Primary

Addresses

Primary practice location

1250 SW 27TH Ave
Ste 404
Miami, FL 33135-4741

Mailing address

1250 SW 27TH Ave
Ste 404
Miami, FL 33135-4741
Phone (305) 642-5255

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY4884FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
O Yes Medical Services Inc. Past Accepting new patients
Luis Hines & Associates, PA PastSince Jan 1, 2004 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1194705517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 SW 27TH AVE",
            "address_2": "STE 404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354741",
            "telephone_number": "305-642-5255",
            "fax_number": "305-642-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SW 27TH AVE",
            "address_2": "STE 404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354741",
            "telephone_number": "305-642-5255",
            "fax_number": "305-642-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "DOROTHY",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.