Individual provider Active NPI

Holly Katz, PH.D.

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1417199647
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5945 Issued in FL
Practice address
22455 Boca Rio Rd
Boca Raton, FL 33433-4708
Phone
(561) 483-5300
Fax
(561) 483-5325
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5945 FL Primary
Family Psychologist 103TF0000X PY5945 FL
Group Psychotherapy Psychologist 103TP2701X PY5945 FL

Addresses

Primary practice location

22455 Boca Rio Rd
Boca Raton, FL 33433-4708

Mailing address

22455 Boca Rio Rd
Boca Raton, FL 33433-4708
Phone (561) 483-5300

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5945FLMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth H. Faulk Foundation, Inc. Current Accepting new patients

Locations

22455 Boca Rio Rd
Boca Raton, FL 33433
Phone (561) 215-7820

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1417199647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22455 BOCA RIO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334708",
            "telephone_number": "561-483-5300",
            "fax_number": "561-483-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22455 BOCA RIO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334708",
            "telephone_number": "561-483-5300",
            "fax_number": "561-483-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5945",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY5945",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "FL",
            "license": "PY5945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.