Megan Holbach, DT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-64586 Issued in IL

Practice address

4735 N Kelso Ave
Chicago, IL 60630-4353

Phone

(773) 414-3856

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Therapeutic Strategies, Inc

  • Counselor
  • Downers Grove, IL
  • NPI 1346316593

  Developmental Therapist

  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1316505126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 N KELSO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304353",
            "telephone_number": "773-414-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 N KELSO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304353",
            "telephone_number": "773-414-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBACH",
        "first_name": "MEGAN",
        "credential": "DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-23-64586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashkhan Hojati
• Caroline Markey Hoke, M.D.
• Erin Lynn Hoke, PA-C
• Michael Anthony Hoks Jr.
• Hol Health Studio LLC
• Kelsey Holbert
• Christopher Thomas Holbrook, M.D.
• Jaimee Susanne Holbrook, M.D.
• Briche Monique Holcomb
• Garret Justin Holcomb, M.D.

• Behavior Analyst in Chicago, IL
• Providers in Chicago, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.