Jennifer K Holmberg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

JH012431 Issued in MI

Practice address

2200 Fuller CT
2200 Fuller Court
Ann Arbor, MI 48105-2311

Phone

(734) 995-0999

Fax

(734) 665-2440

NPI assigned

May 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jennifer Klimek Holmberg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245451046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FULLER CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052311",
            "telephone_number": "734-995-0999",
            "fax_number": "734-665-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FULLER CT",
            "address_2": "2200 FULLER COURT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052311",
            "telephone_number": "734-995-0999",
            "fax_number": "734-665-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "JH012431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGIST",
            "identifier": "68OH149670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HOLMBERG",
            "middle_name": "KLIMEK",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keri Joy Holloway, CRNA
• Kimberly Holly, RN
• Alexis Holman, MD, JD
• Ashlee Ellen Holman, M.D.
• Caitlin B Holman
• Cristina Ann Holmes, NP-C
• Crystal M Holmes, DPM
• Danielle Holmes
• David Charles Holmes, PA-C
• James R Holmes, MD

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• 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.

Verify at the official NPI Registry.