Mark Holman Psychological Services, LLC
Organization Active NPI Clinical Psychologist · Anchorage, AK
NPI 1508640558 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1508640558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- MARK HOLMAN PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 2401 E 42ND Ave Ste 306
Anchorage, AK 99508-5228 - Phone
- (907) 280-7720
- NPI assigned
- Aug 22, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark V Holman, PSY.D.
- Title
- Owner
- Phone
- (907) 280-7720
Practitioners 1
-
Mark V. Holman, PSY.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231012000781 | AK | Part B Supplier - Clinic/Group Practice | 1557716404 |
Receives reassigned benefits from 1 practitioner Practice locations: Anchorage, AK |
National Provider Directory
Locations
1577 C St
Ste 204K
Anchorage, AK 99501
Phone (907) 280-7720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
2401 E 42ND Ave Ste 306
Anchorage, AK 99508-5228
Mailing address
2401 E 42ND Ave Ste 306
Anchorage, AK 99508-5228
Phone (907) 280-7720
Other providers in Anchorage, AK
- Manuela Marin Salcedo
- Emily Marincic
- Rebecca Marinelli
- Mark a Just Ddsllc
- Mark E Richey MD PC
- Mark R Laurin DDS
- Mark R. Laurin, DDS, Inc
- Michael L Mark
- Chase Markel
- Elizabeth Markley
All providers in Anchorage, AK · Clinical Psychologist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.