Individual provider Active NPI

Holly-Marie Arce, PSY.D.

  • Clinical Psychologist
  • San Jose, CA
National Provider Identifier
1356697767
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28768 Issued in CA
Practice address
3880 S Bascom Ave Ste 217
San Jose, CA 95124-2675
Phone
(408) 337-2837
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X PSY28768 CA Primary

Addresses

Primary practice location

3880 S Bascom Ave Ste 217
San Jose, CA 95124-2675

Mailing address

3880 S Bascom Ave Ste 217
San Jose, CA 95124-2675
Phone (408) 337-2837

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130001690 CA Order and Referring Only - Clinical Psychologist 2062794944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY28768CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Psychological Assessment and Treatment Center Clinical CurrentSince Apr 17, 2022 Accepting new patients

Locations

3880 S Bascom Ave
Ste 217
San Jose, CA 95124
Phone (408) 337-2837

Organizations & group practices 1

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1356697767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 217",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242675",
            "telephone_number": "408-337-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 217",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242675",
            "telephone_number": "408-337-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCE",
        "first_name": "HOLLY-MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Patient Portal",
            "address_1": "3880 S Bascom Ave Ste 217",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951242675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.