Individual provider Active NPI

Holly Alicia Gartler, PHD

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1447752514
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4760 Issued in AZ
Practice address
8501 E Princess Dr Ste 100
Scottsdale, AZ 85255-5481
Phone
(480) 299-1965
NPI assigned
Mar 5, 2018
Last updated
Aug 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 4760 AZ Primary

Addresses

Primary practice location

8501 E Princess Dr Ste 100
Scottsdale, AZ 85255-5481

Mailing address

8501 E Princess Dr Ste 100
Scottsdale, AZ 85255-5481
Phone (716) 866-5136

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 Mar 7, 2018 through Mar 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4760AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shier Private Practice CurrentSince Aug 28, 2022 Accepting new patients

Locations

8501 E Princess Dr
Ste 100
Scottsdale, AZ 85255
Phone (480) 299-1965

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": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1447752514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 E PRINCESS DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555481",
            "telephone_number": "716-866-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 E PRINCESS DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555481",
            "telephone_number": "480-299-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTLER",
        "first_name": "HOLLY",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.