Active NPI
Tania M. Holly, M.D.
- Psychiatric Hospital Unit
- Gainesville, FL
National Provider Identifier
1467527358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- TRN3597
- Practice address
- Uf, Department of Psychiatry 1600 SW Archer Road
Gainesville, FL 32610 - Phone
- (352) 265-3284
- Fax
- (352) 265-7983
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | TRN3597 | FL | Primary |
Addresses
Primary practice location
Uf, Department of Psychiatry 1600 SW Archer Road
Gainesville, FL 32610
Mailing address
515 NW 152ND St
Miami, FL 33169-6615
Phone (786) 385-6433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TRN3597 | Other | FL | FORENSIC PSYCHIATRY FELLO |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN3597 | FL | MD | Psychiatric Hospital Unit |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467527358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 NW 152ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331696615",
"telephone_number": "786-385-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UF, DEPARTMENT OF PSYCHIATRY 1600 SW ARCHER ROAD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32610",
"telephone_number": "352-265-3284",
"fax_number": "352-265-7983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLY",
"first_name": "TANIA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "FL",
"license": "TRN3597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FORENSIC PSYCHIATRY FELLO",
"identifier": "TRN3597",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.