Holystick,LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

HOLYSTICK,LLC

Practice address

15200 Shady Grove Rd Ste 103
Rockville, MD 20850-3218

Phone

(240) 945-8525

Fax

(240) 901-4515

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Hanul Jung, DOANPI 1023399755

Title

Ceo

Phone

(240) 945-8525

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Holistic Care Doing business as
• HolyStick Former legal business name

Tax ID family

Acupuncture2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holystick,LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfax, VA
  • NPI 1619506300
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hanul Jung, PTA, L.AC

  • Acupuncturist
  • Silver Spring, MD
  • NPI 1023399755
  NPD Authorized official
• Karen Sung Chang, DAOM, L.AC.

  • Acupuncturist
  • Rockville, MD
  • NPI 1790292142
  NPD

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1255960944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14428 HOMECREST RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061820",
            "telephone_number": "240-506-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503218",
            "telephone_number": "240-945-8525",
            "fax_number": "240-901-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14428 Homecrest Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209061820",
            "country_code": "US",
            "telephone_number": "240-506-6549",
            "fax_number": "240-901-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLYSTICK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "HANUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-945-8525",
        "authorized_official_credential": "DOA"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH",
            "identifier": "0121000988",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH",
            "identifier": "U02656",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HolyStick",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "HolyStick",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Holy Cross Anesthesiology Associate PA
• Holy Cross Anesthesiology Associate PA
• Holy Cross Anesthesiology Associate PA
• Holy Cross Anesthesiology Associate PA
• Holy Cross Health Urgent Care
• Home Based Primary Care of DC Inc.
• Noelle B Hometchko, LCSW-C
• Paul Patrick Homon, LCSW-C
• Manzar Honarkar
• Maryam Honarkar, D.D.S.

• Acupuncturist in Rockville, MD
• Providers in Rockville, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.