Allison Anne Holtkamp, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 18001 Issued in CA

Practice address

17744 Sky Park Cir Ste 285
Irvine, CA 92614-4461

Phone

(714) 914-7794

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allison a Holtkamp, PSYD Psychologist Inc

  dba na

  • Adult Mental Health Clinic/Center
  • Rancho Santa Margarita, CA
  • NPI 1629637640

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1508990227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17744 SKY PARK CIR STE 285",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144461",
            "telephone_number": "714-914-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17744 SKY PARK CIR STE 285",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144461",
            "telephone_number": "714-914-7794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6101 Ball Rd",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "CA",
            "postal_code": "906303963",
            "country_code": "US",
            "telephone_number": "562-431-8875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTKAMP",
        "first_name": "ALLISON",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 18001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "18001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Alexis Holmes
• Adrianna Elyse Holness, PH.D.
• Jadyn Holsen
• Julie Holt, DSC, MPT, CPC, ELIMP
• Natalie Sofia Holt
• Katherine Anne Hom, M. D.
• Ali Homayoonieh
• Home Care Placement, LLC
• Mulan Homo
• Steven Yoshio Honda I, PTA

• Clinical Psychologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.