Active NPI
Taryl A Holbrook, PH.D.
- Counseling Psychologist
- Wesley Chapel, FL
National Provider Identifier
1245449222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 4155
- Practice address
- 29200 Bay Hollow Dr
Unit 3285
Wesley Chapel, FL 33543-4364 - Phone
- (813) 973-8022
- Fax
- (813) 991-6160
- NPI assigned
- May 22, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4155 | FL | Primary |
Addresses
Primary practice location
29200 Bay Hollow Dr
Unit 3285
Wesley Chapel, FL 33543-4364
Mailing address
29200 Bay Hollow Dr
Unit 3285
Wesley Chapel, FL 33543-4364
Phone (813) 973-8022
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4155 | FL | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245449222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29200 BAY HOLLOW DR",
"address_2": "UNIT 3285",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335434364",
"telephone_number": "813-973-8022",
"fax_number": "813-991-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29200 BAY HOLLOW DR",
"address_2": "UNIT 3285",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335434364",
"telephone_number": "813-973-8022",
"fax_number": "813-991-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "TARYL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "4155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.