Individual provider Active NPI

Michael Holcomb, BCBA

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1518630136
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5937 Issued in TX
Practice address
200 E Ramsey Rd
San Antonio, TX 78216-4607
Phone
(210) 490-3900
Fax
(210) 390-3911
NPI assigned
Jul 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 5937 TX Primary

Addresses

Primary practice location

200 E Ramsey Rd
San Antonio, TX 78216-4607

Mailing address

200 E Ramsey Rd
San Antonio, TX 78216-4607
Phone (210) 490-3900

Other practice location 1

903 Proton Rd
San Antonio, TX 78258-4203
Phone (210) 228-9923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5937TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1518630136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E RAMSEY RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164607",
            "telephone_number": "210-490-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RAMSEY RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164607",
            "telephone_number": "210-490-3900",
            "fax_number": "210-390-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Proton Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584203",
            "country_code": "US",
            "telephone_number": "210-228-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "MICHAEL",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.