Holistic Psychological Center

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5562 Issued in OH

Legal business name

HOLISTIC PSYCHOLOGICAL CENTER

Doing business as

Nakaia Wellness Center

Practice address

72 N Main St
Room 210
Hudson, OH 44236-2870

Phone

(330) 653-5081

Fax

(330) 653-5823

NPI assigned

Dec 26, 2007

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Marie Spencer

Title

Office Manager

Phone

(330) 653-5081

Specialties & licenses 1

Addresses

Other names 1

• Nakaia Wellness Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly J Timberlake, PHD

  • Psychologist
  • Hudson, OH
  • NPI 1568546588
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1225212343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 N MAIN ST",
            "address_2": "ROOM 210",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362870",
            "telephone_number": "330-653-5081",
            "fax_number": "330-653-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 N MAIN ST",
            "address_2": "ROOM 210",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362870",
            "telephone_number": "330-653-5081",
            "fax_number": "330-653-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-653-5081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nakaia Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Anne Hickey, DNP
• Savanna Paige Hill
• Hines Hill Operating Co LLC
• Christina Hoff Gupta, M.C., P.C.
• Nancy J Hojnacki, LPN
• Joseph Holodnak
• Keith Arden Hoover, DDS
• Patricia M Hord, M.D.
• David Louis Hornick, MD
• Sydney Hotz, ATC, LAT, NREMT

• Psychologist in Hudson, OH
• Providers in Hudson, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.