Samantha Blair Holman, LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361002070 Issued in MI

Practice address

85 Macomb PL
Mount Clemens, MI 48043-5625

Phone

(248) 509-0590

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1316427339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MACOMB PL",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435625",
            "telephone_number": "248-330-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MACOMB PL",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435625",
            "telephone_number": "248-509-0590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38600 Van Dyke Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483121171",
            "country_code": "US",
            "telephone_number": "248-453-7525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Clinton St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482262334",
            "country_code": "US",
            "telephone_number": "313-224-0706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "SAMANTHA",
        "middle_name": "BLAIR",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361002070",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361002070",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Michael Hoffman, MSW
• Christina Hoffmann, MSW
• Kristin Hofstad, PA
• Richard L Ee Hogan, M.D.
• Holbrook Home Health LLC
• Cheryl Nadine Holt, MSW, IMH THERAPIST
• Alyson Holzen, NURSE PRACTITIONER
• Daniel Jacob Honet, DO
• Hope Network
• Hope Network New Passages

• Clinical Psychologist in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.