Hollyhock Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

016484 Issued in NY

Legal business name

HOLLYHOCK PSYCHOLOGICAL SERVICES

Practice address

423 Kenwood Ave
Delmar, NY 12054-1805

Phone

(518) 573-9858

NPI assigned

Nov 22, 2013

Last updated

Nov 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eloise Marie Potenza, PSY.D.

Title

Owner

Phone

(518) 573-9858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1487084711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PEEL ST",
            "city": "SELKIRK",
            "state": "NY",
            "postal_code": "121589734",
            "telephone_number": "518-573-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541805",
            "telephone_number": "518-573-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYHOCK PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "POTENZA",
        "authorized_official_first_name": "ELOISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-573-9858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "016484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Hennessy, LCSW-R
• Elaine A. Hickey, PT
• Abigail Hickling, CCC-SLP
• Deborah A Hirt, FNP, CNM
• Lisa Hoerz
• Dawn Lee Hopsicker, RPH
• Audra F Houck
• Andrea Leigh Hubalek, LMSW
• Hughes Opticians Inc.
• Sierra Hunt

• Community/Behavioral Health Agency in Delmar, NY
• Providers in Delmar, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.