Individual provider Active NPI

Barbara L Holzman, A.M.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1417013087
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LCSW - 0001 Issued in AZ
Practice address
525 N 18TH St
Suite 303
Phoenix, AZ 85006-4102
Phone
(602) 254-9986
Fax
(602) 254-4439
NPI assigned
Dec 28, 2006
Last updated
Sep 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LCSW - 0001 AZ Primary

Addresses

Primary practice location

525 N 18TH St
Suite 303
Phoenix, AZ 85006-4102

Mailing address

525 N 18TH St
Suite 303
Phoenix, AZ 85006-4102
Phone (602) 254-9986

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2015 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW - 0001AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Alan Wellek MD LTD Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1417013087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N 18TH ST",
            "address_2": "SUITE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850064102",
            "telephone_number": "602-254-9986",
            "fax_number": "602-254-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N 18TH ST",
            "address_2": "SUITE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850064102",
            "telephone_number": "602-254-9986",
            "fax_number": "602-254-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZMAN",
        "first_name": "BARBARA",
        "middle_name": "L",
        "credential": "A.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "LCSW - 0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.