Karen Holler PHD Neuropsychology Associates Inc

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS000626 Issued in RI

Legal business name

KAREN HOLLER PHD NEUROPSYCHOLOGY ASSOCIATES INC

Practice address

345 Blackstone Blvd
Providence, RI 02906-4800

Phone

(401) 455-0221

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Karen Holler, PH.D.NPI 1750474599

Title

Licensed Psychologist

Phone

(401) 455-0221

Specialties & licenses 4

Addresses

Other identifiers 4

Practitioners 1

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

• Karen Anne Holler, PHD

  • Psychologist
  • Providence, RI
  • NPI 1750474599
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1346460151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603102",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029060102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-455-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN HOLLER PHD NEUROPSYCHOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HOLLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "401-455-0221",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS000626",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS000844",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS000626",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS000844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "27372-9",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "407715",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "CP411624",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "22698-5",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Karanja
• Julie Anne Karas, PT
• Erich J Karasko, PA
• Rebecca Karb
• Amanda Lynn Karbowski, DPT
• Karen L McGoldrick, MD
• Karen L. Kerman, M.D., Inc
• Naz Karim, M.D.
• Debra A Karinski, NP
• Chhavi Karir, MD

• Clinical Neuropsychologist in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Neuropsychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.