Individual provider Active NPI

Holly Roberts, MD

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1295045151
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
208926 Issued in NY
Practice address
2012 Grand Concourse
Bronx, NY 10456-1111
Phone
(718) 960-0300
NPI assigned
Oct 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 208926 NY Primary

Addresses

Primary practice location

2012 Grand Concourse
Bronx, NY 10456-1111

Mailing address

PO Box 8035
Pelham, NY 10803-8835
Phone (914) 643-8270

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
208926NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wihd Inc CurrentSince Jan 15, 2013 Accepting new patients
Westchester Faculty Psychological Associates PC Past Accepting new patients
Faculty Psychiatric Associates, PC Psychiatry PastSince Jul 1, 2003 Accepting new patients

Locations

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

95 Grasslands Rd
#N326
Valhalla, NY 10595
Phone (914) 493-7124

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1295045151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8035",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108038835",
            "telephone_number": "914-643-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104561111",
            "telephone_number": "718-960-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "208926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.