Matthew Ian Holbrook, LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

293310 Issued in KY

Practice address

10100 Linn Station Rd Ste 1a
Louisville, KY 40223-3861

Phone

(502) 909-0772

Fax

(855) 859-0123

NPI assigned

Feb 18, 2022

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Louisville School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aptiva HealthGroup PAC ID 0547595316, 36 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aptiva Health

  dba Aptiva Health LLC

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1669967881
  Medicare reassignment Care Compare group NPD
• Aptiva Health

  dba Aptiva Health LLC

  • Durable Medical Equipment & Medical Supplies
  • Elizabethtown, KY
  • NPI 1326877952
  NPD

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1235884180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 PLANTSIDE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996345",
            "telephone_number": "502-909-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 LINN STATION RD STE 1A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233861",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3615 Newburg Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402183368",
            "country_code": "US",
            "telephone_number": "502-909-0772",
            "fax_number": "855-859-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "MATTHEW",
        "middle_name": "IAN",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "293310",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Hokey, RBT
• Lauren Elizabeth Holba, APRN, CRNA
• Alice Holbrook, RESP THERAPY
• Jessica Holbrook, RN
• Mason Holbrook
• Michelle Holbrook, LMFT
• Regina Holbrook, RN
• Alyssa Ann Holcomb
• Richard Ray Holcomb, CADC MSSW
• Holdaway Medical Services LLC

• Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.