Holly Renee Hanley, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001543 Issued in NY

Practice address

22307 Riverbend Dr E
Watertown, NY 13601-1723

Phone

(315) 523-7616

Fax

(518) 252-8276

NPI assigned

Feb 5, 2019

Last updated

May 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1508321449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22307 RIVERBEND DR E",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011723",
            "telephone_number": "315-523-7616",
            "fax_number": "518-252-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22307 RIVERBEND DR E",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136011723",
            "telephone_number": "315-523-7616",
            "fax_number": "518-252-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "HOLLY",
        "middle_name": "RENEE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lynn Hall, PT
• Tanya Hall
• Marisa Hamlin, PA-C
• Heather Hance
• Hanger Prosthetics & Orthotics East Inc
• Kathleen E Hannan, LMSW,ACSW,CASAC
• Shanae Leighann Hanson, OTR
• Florence Hare, N.P.
• Peggi-Lynn Harrington, LCSW
• Christina Marie Harris, LPN

• Marriage & Family Therapist in Watertown, NY
• Providers in Watertown, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.