Individual provider Active NPI

Ronald Nelson Holman, MFT, PHD

  • Marriage & Family Therapist
  • Valencia, CA
National Provider Identifier
1437268257
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
18919 Issued in CA
Practice address
27201 Tourney Rd # 200
Valencia, CA 91355-1854
Phone
(818) 704-1444
Fax
(818) 704-9339
NPI assigned
Aug 29, 2006
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 18919 CA Primary

Addresses

Primary practice location

27201 Tourney Rd # 200
Valencia, CA 91355-1854

Mailing address

PO Box 8011
Canoga Park, CA 91309-8011
Phone (818) 704-1444

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
18919CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Care California Past Accepting new patients
Holman Family Counseling Inc Past Accepting new patients

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1437268257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8011",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913098011",
            "telephone_number": "818-704-1444",
            "fax_number": "818-704-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27201 TOURNEY RD # 200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551854",
            "telephone_number": "818-704-1444",
            "fax_number": "818-704-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "RONALD",
        "middle_name": "NELSON",
        "name_prefix": "Mr.",
        "credential": "MFT, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "18919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.