Active NPI
Mark Holman Psychological Services, LLC
- Clinical Psychologist
- Anchorage, AK
National Provider Identifier
1508640558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
- Last updated
- Aug 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark V Holman, PSY.D.
- Title
- Owner
- Phone
- (907) 280-7720
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1577 C St
Ste 204K
Anchorage, AK 99501
Phone (907) 280-7720
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1508640558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 E 42ND AVE STE 306",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085228",
"telephone_number": "907-280-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 E 42ND AVE STE 306",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085228",
"telephone_number": "907-280-7720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK HOLMAN PSYCHOLOGICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "HOLMAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "907-280-7720",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.