Active NPI
Valerie Louise Holmstrom, PHD
- Clinical Psychologist
- Orangeburg, SC
National Provider Identifier
1326091323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- SC202
- Practice address
- 1205 Hutto St
Orangeburg, SC 29118-1454 - Phone
- (803) 536-3100
- Fax
- (803) 536-3100
- NPI assigned
- May 18, 2006
- Last updated
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | SC202 | SC | Primary |
Addresses
Primary practice location
1205 Hutto St
Orangeburg, SC 29118-1454
Mailing address
1205 Hutto St
Orangeburg, SC 29118-1454
Phone (803) 536-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS0309 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC202 | SC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1326091323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 HUTTO ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291181454",
"telephone_number": "803-536-3100",
"fax_number": "803-536-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 HUTTO ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291181454",
"telephone_number": "803-536-3100",
"fax_number": "803-536-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMSTROM",
"first_name": "VALERIE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "SC202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PS0309",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.