Holistix Outpatient Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HOLISTIX OUTPATIENT CENTER

Practice address

2300 S Broad St
Ste 202-203
Philadelphia, PA 19145-4461

Phone

(856) 889-0617

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Albert Coccia III, CEO

Title

Ceo

Phone

(856) 889-0617

Specialties & licenses 1

Addresses

Tax ID family

Holistix Outpatient Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holistix Outpatient Center

  • Substance Abuse Rehabilitation Facility
  • Philadelphia, PA
  • NPI 1164931440
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Holistix Outpatient Center

  • Substance Abuse Rehabilitation Facility
  • Philadelphia, PA
  • NPI 1164931440
  NPPES parent name

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1407226434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S BROAD ST",
            "address_2": "STE 202-203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454461",
            "telephone_number": "856-889-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S BROAD ST",
            "address_2": "STE 202-203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454461",
            "telephone_number": "856-889-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIX OUTPATIENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "COCCIA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-889-0617",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shynea Lynn Holiday, PA-C
• Holistic Family Services
• Holistic Psychotherapy & Research
• Holistic Therapeutic Arts LLC
• Holistix Outpatient Center
• William Edward Holl, PT
• Fredricka Holland-Guy, LSW
• Amy Wharton Holland, MD, MA
• Mitchell Alexander Holland, ATC
• Nicole C Holland, CRNP

• Substance Use Disorder Rehabilitation Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.