Individual provider Active NPI

Holly Hiltner-Fullmer, PSY.D.

  • Clinical Psychologist
  • Arnold, MD
National Provider Identifier
1356777106
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06006 Issued in MD
Practice address
1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone
(410) 260-0160
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 06006 MD Primary

Addresses

Primary practice location

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815

Mailing address

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone (410) 260-0160

Other identifiers 1

IdentifierTypeStateIssuer
589561803MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
De-Stress Psychological Services, LLC Clinical Current Accepting new patients

Locations

1298 Bay Dale Dr
Ste 211
Arnold, MD 21012
Phone (410) 260-0160

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1356777106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "410-260-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "410-260-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTNER-FULLMER",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589561803",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.